Individual
ANDREW M NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 SOMDG, 224 WEST D.L. INGRAM AVE, BLDG. 1408, CANNON AFB, NM 88103
(575) 784-2778
Mailing address
27 SOMDG, 224 WEST D.L. INGRAM AVE, BLDG. 1408, CANNON AFB, NM 88103
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
04/27/2026
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