HYO TAC IM

ELLSWORTH AFB, SD
NPI1124797402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider Independent Duty Medical Technicians
Enumeration Date2021-09-09
Last Update Date2021-09-09
Business Address
HYO TAC IM IDMT
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 605-385-6700
Mailing Address
HYO TAC IM IDMT
2900 DOOLITTLE DR
ELLSWORTH AFB, SD 57706-4821
Phone number: 605-385-6700