CHAD MICHAEL SMITH

BOLLING AFB, DC
NPI1023245560
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date2009-06-11
Last Update Date2009-06-11
Business Address
CHAD MICHAEL SMITH IDMT
238 BROOKLEY AVE
BOLLING AFB, DC 20032
Phone number: 202-754-1458
Mailing Address
CHAD MICHAEL SMITH IDMT
13037 ARLINGTON ST
OMAHA, NE 68164-1643
Phone number: 703-980-3850