Dylan Garrett, IDMT
Individual provider Active NPI Technician · Minot Afb, ND
NPI 1730865874 · NPPES record last updated Feb 29, 2024
Key facts
- NPI
- 1730865874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician 374700000X
- Practice address
- 10 Missile Ave
Minot Afb, ND 58705-5003 - Phone
- (701) 723-5401
- NPI assigned
- Jun 23, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Yes |
Addresses
Primary practice location
10 Missile Ave
Minot Afb, ND 58705-5003
Mailing address
10 Missile Ave
Minot Afb, ND 58705-5003
Phone (701) 723-5401
Other providers in Minot Afb, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.