JOHNATHAN A PAXTON

ANDREWS AFB, MD
NPI1376787903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-04-27
Last Update Date2009-04-30
Business Address
-- JOHNATHAN A PAXTON IDMT
WEST PERIMETER RD BLDG 1050 MALCOLM GROW MEDICAL CENTER
ANDREWS AFB, MD 20762
Phone number: 240-857-8529
Mailing Address
-- JOHNATHAN A PAXTON IDMT
2709 BISMARK ST
WALDORF, MD 20603-3820
Phone number: 240-691-6687