Individual
ERIK M WALDRIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
104 W D. L. INGRAM AVE, CANNON AFB, NM 88101
(277) 857-5784
Mailing address
104 W D. L. INGRAM AVE, CANNON AFB, NM 88101
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
08/02/2022
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