CLAUDE LYMAN WEIDOW

SHEPPARD AFB, TX
NPI1154555225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-05-05
Last Update Date2009-05-05
Business Address
-- CLAUDE LYMAN WEIDOW IDMT
939 MISSILE RD STE 3
SHEPPARD AFB, TX 76311-2263
Phone number: 940-676-6574
Mailing Address
-- CLAUDE LYMAN WEIDOW IDMT
939 MISSILE RD, STE 3
WICHITA FALLS, TX 76311
Phone number: 940-676-6574