Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DAMON EDWIN SHANKS, IDMT
ActiveMR. DAMON EDWIN SHANKS, IDMT is a Independent Duty Medical Technician healthcare provider located in SPRINGFIELD, Ohio. NPI 1649503558 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · SPRINGFIELD, OH
Registration Details
- NPI Number
- 1649503558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2009 (16.886970112001 yrs)
- Last Updated
- Sep 9, 2009
Practice Information
- Address
-
5215 FONTAINE LNSPRINGFIELD, OH, 455029816Browse OH providers · Browse ZIP 45502
- Phone
- 9375252582
- Fax
- 9373272387
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
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.