Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES DELVON PICKETT, IDMT
ActiveIndependent Duty Medical Technician · LUKE AFB, AZ
Registration Details
- NPI Number
- 1043516610
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2011 (15.271632323872 yrs)
- Last Updated
- Aug 30, 2011
Practice Information
- Address
-
7019 N LITCHFIELD AVELUKE AFB, 56/AMDSLUKE AFB, AZ, 85309Browse AZ providers · Browse ZIP 85309
- Phone
- 6238567527
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in LUKE AFB, AZ
| Name | Credential | NPI |
|---|---|---|
| DAVE ALAN LEWIS | IDMT | 1548495609 |
| ALEX JACOB CHRISTIAN MOORE | — | 1265242846 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.