Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 38

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1124262365

MR. IDMT David E Kohler-edwards

Individual

1670 E. Perimeter Way

162nd Medical Group/arizona Air National Guard

Tucson, AZ

1063647196

IDMT Virginia E. Bailey

Individual

4837 S Phoenix St.

Rm 119 Davis-monthan Air Force Base

Tucson, AZ

1548495609

IDMT Dave Alan Lewis

Individual

14793 W Corsair St

Luke Afb, AZ

1164657136

IDMT Raul Romero

Individual

4575 S. Phoenix St. 563rd Oss

Dmafb, AZ

1376779959

IDMT Tracey L Gilmore

Individual

3739 W Helena Dr

Glendale, AZ

1942437447

MR. IDMT Emerson M Earle

Individual

4625 S. Phoenix St

Bld 4843

Tucson, AZ

1801024260

IDMT Hilda Imelda Rios

Individual

4175 S Alamo Ave

Tucson, AZ

1851529192

IDMT Christopher Thomas Yarbrough

Individual

4625 South Phoenix Street Bldg 4843

Tucson, AZ

1366670614

Lucille Mary Brown

Individual

4175 S Alamo Ave

Davis Monthan Afb

Tucson, AZ

1508094897

MR. IDMT Robert Anthony Zamoida

Individual

4575 S. Phoenix St.

Dmafb, AZ

1881822948

IDMT Michael C Arena

Individual

4625 South Phoenix Street

Bldg 4843

Tucson, AZ

1255560025

IDMT Daniel Nored

Individual

4175 S Alamo Ave

Dm Afb, AZ

1306076377

IDMT Jayme L Cline

Individual

4175 S Alamo Ave

Davis Monthan Afb, AZ

1326377565

IDMT Amber Marie Werner

Individual

9603 N 179th Dr

Waddell, AZ

1285966945

MR. IDMT Daniel Adam Johnson

Individual

8697 S Desert Rainbow Dr

Tucson, AZ

1851604714

MR. IDMT Dustin C Sandquist

Individual

16187 S Santa Rita Shadows Dr

Vail, AZ

1417267949

IDMT Humberto Alcocer

Individual

4159 W 3rd Pl

Yuma, AZ

1235433756

IDMT Esmat Marie Sabbagh

Individual

5020 E Arizola St

Davis Monthan Afb, AZ

1053617464

IDMT Bradley William Snyder

Individual

7224 North 139th Avenue

Glendale, AZ

1316245764

Anthony Bradford Wilson

Individual

7219 N Litchfield Rd

Glendale, AZ

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1003X
Specialization Independent Duty Medical Technicians
Display Name Independent Duty Medical Technicians
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Military Health Care Provider

171000000X • providers: 1,689