Mr. Michael B Stull, IDMT
Mr. Michael B Stull, IDMT is an Independent Duty Medical Technicians in Portales, New Mexico. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
904 S Dallas Ave Apt 3Portales, NM 88130-6028
Phone: (575) 784-0287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Medical Technicians (primary) | Taxonomy 1710I1003X |
|---|
Record details
| NPI number | 1952630642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDMT |
| Sole proprietor | No |
| NPI enumerated | December 9, 2009 |
| Last updated in NPPES | August 19, 2010 |
| Mailing address | 904 S Dallas Ave Apt 3, Portales, NM 88130-6028 |