Individual
LANDRU DEREK MEDVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2422 ARCTIC AVE, APT D, EIELSON AFB, AK 99702
(907) 372-4458
(907) 372-4458
Mailing address
2630 CENTRAL AVE, SUITE 1M07, EIELSON AFB, AK 99702-2301
(907) 377-6526
(907) 377-2763
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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