Individual
MR. ALTON E DOE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2630 CENTRAL AVE, STE 1, EIELSON AFB, AK 99702-2301
(907) 377-4326
Mailing address
3349 CENTRAL AVE, EIELSON AIR FORCE BAS, AK 99702
(907) 377-4326
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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