Individual provider · Type 1 NPI

Colton Ken Dessert

Military Health Care Provider · Jbsa Lackland, TX

NPI number 1750959110 Active

Practice location

2200 Bergquist Dr Ste 1
Jbsa Lackland, TX 78236-9908

Call (210) 292-7412 Map

Mailing address

9132 Truemper Street, Unit 9132
Lackland Afb, TX 78236

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1750959110

Colton Ken Dessert's National Provider Identifier is 1750959110, issued on Jun 14, 2021. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Jun 14, 2021.