Search › New Mexico › Independent Duty Medical Technicians
Keaton Rider
NPI 1083369938 · on the registry since 2022 · sole proprietor
Practice
- Address
- 104 W D.L. Ingram Ave
Cannon Afb, NM 88101 - Phone
- (575) 784-2778
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Independent Duty Medical Technicians
1710I1003X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico