IndividualActive
Alex Moore
NPI 1265242846 · Independent Duty Medical Technicians · Luke Afb, AZ
Provider details
- NPI number
- 1265242846
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
7219 N Litchfield Rd Bldg 1130
Luke Afb, AZ 85309-1529
Phone: (623) 856-7527
Mailing address
7219 N Litchfield Rd Bldg 1130
Luke Air Force Base, AZ 85309-1529
Registry dates
- Enumerated
- 2025-01-07
- Last updated
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.