Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
POCCO S BUSSEY, IDMT
ActivePOCCO S BUSSEY, IDMT is a Independent Duty Medical Technician healthcare provider located in FAIRCHILD, Washington. NPI 1922232099 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · FAIRCHILD, WA
Registration Details
- NPI Number
- 1922232099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2009 (17.242423255008 yrs)
- Last Updated
- May 5, 2009
Practice Information
- Address
-
92 MEDICAL GROUP, FLIGHT MEDICINE CLINICFAIRCHILD, WA, 99011Browse WA providers · Browse ZIP 99011
- Phone
- 5092475755
- Fax
- 5092478833
- 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.