DAVE ALAN LEWIS

LUKE AFB, AZ
NPI1548495609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2009-05-19
Last Update Date2009-05-19
Business Address
-- DAVE ALAN LEWIS IDMT
14793 W CORSAIR ST
LUKE AFB, AZ 85309-1602
Phone number: 623-856-7340
Mailing Address
-- DAVE ALAN LEWIS IDMT
12605 W SHERIDAN ST
AVONDALE, AZ 85392-6552
Phone number: