Individual
DANE J TACKITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
7338 LONCKI ST, HILL AFB, UT 84056-7300
(801) 777-4710
Mailing address
7338 LONCKI ST, HILL AFB, UT 84056-7300
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us