DATHAN J SPINNEY

MOUNTAIN HOME AFB, ID
NPI1689985897
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2010-06-23
Last Update Date2022-05-13
Business Address
DATHAN J SPINNEY IDMT
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7401
Mailing Address
DATHAN J SPINNEY IDMT
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID 83648-1062
Phone number: 208-828-7401