TIMOTHY BLAKE WILDER IDMT
NPI 1184858045
Military Health Care Provider - Independent Duty Medical Technicians in Scott Afb, IL
About Timothy Blake Wilder Idmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY BLAKE WILDER IDMT (NPI 1184858045) is an individual independent duty medical technicians provider in Scott Afb, Illinois and active in the NPI registry since May 2009.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SCOTT AFB, IL 62225
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Timothy Wilder's NPI number?
The NPI number for Timothy Wilder is 1184858045. It was assigned to this individual provider in the NPPES registry on May 7, 2009.
Where is Timothy Wilder located?
Timothy Wilder practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-8970.
What is Timothy Wilder's specialty?
The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.
When was this NPI record last updated?
The NPPES record for Timothy Wilder was last updated on May 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.