JOE CALVIN DURHAM

SCOTT AFB, IL
NPI1528539756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
JOE CALVIN DURHAM IDMT
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-9355
Mailing Address
JOE CALVIN DURHAM IDMT
310 W LOSEY ST
SCOTT AFB, IL 62225-5250
Phone number: 618-256-9355