Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOISES VELASCO, IDMT
Active Sole ProprietorMOISES VELASCO, IDMT is a Independent Duty Medical Technician healthcare provider located in EDWARDS AFB, California. NPI 1639300197 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · EDWARDS AFB, CA
Registration Details
- NPI Number
- 1639300197
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2009 (16.895000824304 yrs)
- Last Updated
- Jan 6, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 TH MEDICAL GROUP30 NIGHTINGALE RD.EDWARDS AFB, CA, 935240001Browse CA providers · Browse ZIP 93524
- Phone
- 6612771130
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in EDWARDS AFB, CA
| Name | Credential | NPI |
|---|---|---|
| WILLIAM ROBERT COLE | IDMT | 1144454802 |
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.