Colton Ken Dessert
Colton Ken Dessert is a Military Health Care Provider in Jbsa Lackland, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2200 Bergquist Dr Ste 1Jbsa Lackland, TX 78236-9908
Phone: (210) 292-7412
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1750959110 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 14, 2021 |
| Last updated in NPPES | June 14, 2021 |
| Certification date | May 27, 2021 |
| Mailing address | 9132 Truemper Street, Unit 9132, Lackland Afb, TX 78236 |
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