Thomas Michael Urbany, IDMT

Individual provider Active NPI Independent Duty Medical Technicians · Eielson Afb, AK

NPI 1124702899 · NPPES record last updated Jun 13, 2023

Key facts

NPI
1124702899
Entity type
Individual (NPI type 1)
Primary specialty
Independent Duty Medical Technicians 1710I1003X
Practice address
2630 Central Ave # 3349
Eielson Afb, AK 99702-2301
Phone
(907) 669-0385
NPI assigned
Jun 13, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Medical Technicians 1710I1003X Yes

Addresses

Primary practice location

2630 Central Ave # 3349
Eielson Afb, AK 99702-2301

Mailing address

2630 Central Ave # 3349
Eielson Afb, AK 99702-2301

Other providers in Eielson Afb, AK

All providers in Eielson Afb, AK · Independent Duty Medical Technicians in Alaska

Sources for this page

Verify at the official NPI Registry.