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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1043516610

IDMT Charles Delvon Pickett

Individual

7019 N Litchfield Ave

Luke Afb, 56/amds

Luke Afb, AZ

1932479870

IDMT Deon Denise Madsen

Individual

4880 N Sabino Canyon Rd

#17176

Tucson, AZ

1821358102

MR. Ngu Quang Do

Individual

407 Campbell St

Prescott, AZ

1831449180

MR. Ronald John Borgstrom II

Individual

15053 W Mulberry Dr

Goodyear, AZ

1891118774

Vianca Mendoza

Individual

17714 W Desert Ln

Surprise, AZ

1306259171

IDMT Aaron Alvarez

Individual

18026 W Carol Ave

Waddell, AZ

1629436977

IDMT Justin Chiasson

Individual

4175 S Alamo Ave Bldg 400

Davis Monthan Afb, AZ

1811477235

IDMT Alan Thatcher Price

Individual

4175 S Alamo Ave

Tucson, AZ

1043787450

Dustin Alford

Individual

4280 E Burnsey Ln

Kingman, AZ

1194375667

MR. Nathan Andrew Lawson

Individual

2336 E Libra Pl

Chandler, AZ

1225657828

Casey Mulcahy

Individual

2748 N 60th St

Scottsdale, AZ

1508485087

Nathania A Valdez

Individual

4175 South Alamo Ave

Tucson, AZ

1568050649

MRS. IDMT Kayci Serino

Individual

7219 N Litchfield Rd

Glendale, AZ

1649858820

REIKI MASTER & TCM David Wayne Hertzberg

Individual

3617 W El Camino Dr

Phoenix, AZ

1699353870

Biblical Botanicals Llc.

Organization

3617 W El Camino Dr

Phoenix, AZ

1861141848

MRS. Rebekah J Clifford

Individual

7219 N Litchfield Rd

Glendale, AZ

1750016986

Tyler Austin Mattas

Individual

341 N Calle Rinconado

Vail, AZ

1730817057

Shauna Jones

Individual

3668 W Anthem Way

Anthem, 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