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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MEREDITH ROSE GRANHOLM, IDMT

Active

MEREDITH ROSE GRANHOLM, IDMT is a Independent Duty Medical Technician healthcare provider located in FAIRCHILD AFB, Washington. NPI 1750515342 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Medical Technician · FAIRCHILD AFB, WA

Registration Details

NPI Number
1750515342
Provider Type
Individual
Gender
Female
NPI Issued
May 11, 2009 (17.221383812456 yrs)
Last Updated
May 11, 2009

Practice Information

Address
701 HOSPITAL LOOP
92 AMDS/SGPE
FAIRCHILD AFB, WA, 990118704
Browse WA providers · Browse ZIP 99011
Phone
5092475755
Fax
5072478833
Primary Specialty
Independent Duty Medical Technician
1710I1003X

Other Independent Duty Medical Technician Providers in FAIRCHILD AFB, WA

Name Credential NPI
MR. JOSEPH DAVID BROWNELL IDMT 1245473339
KERILYN SHIGIHARA IDMT 1336383173
MR. BRIAN BARTON IDMT 1225262454
CLAUDIO ALEJANDRO CASTILLO IDMT 1841428109
MR. ROBERT MICHAEL SIEBENALER IDMT 1306074513
MR. NICHOLAS JAMES GRAHAM IDMT 1730317728
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.