Individual
ANREI HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(260) 760-7599
Mailing address
1194 DAKOTA DR, BOX ELDER, SD 57719-2412
(260) 760-7599
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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