Individual
MR. DEXTER ELI VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
101 GRIFFIN WAY, EGLIN AFB, FL 32542
(850) 883-4487
Mailing address
101 GRIFFIN WAY, EGLIN AFB, FL 32542
(850) 883-4487
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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