IndividualActive
Daniel Moffett
NPI 1295679454 · Independent Duty Medical Technicians · Scott Air Force Base, IL
Provider details
- NPI number
- 1295679454
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4621 Patrick Henry Cir Unit a
Scott Air Force Base, IL 62225-6846
Phone: (814) 323-0666
Approximate (ZIP-level) locationGet directions
Mailing address
4621 Patrick Henry Cir Unit a
Scott Air Force Base, IL 62225-6846
Registry dates
- Enumerated
- 2026-04-17
- Last updated
- 2026-04-17
- Certified
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.