GLENN WILSON IDMT
NPI 1720401789
Military Health Care Provider - Independent Duty Medical Technicians in Holloman Afb, NM
About Glenn Wilson Idmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLENN WILSON IDMT (NPI 1720401789) is an individual independent duty medical technicians provider in Holloman Afb, New Mexico and active in the NPI registry since January 2014.
NPPES Registry Identity
Specialties & Licenses
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLOMAN AFB, NM 88330
HOLLOMAN AFB, NM 88330
HOLLOMAN AFB, NM 88330
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720401789, enumerated as an "individual" on January 28, 2014.
The provider is located at 280 DAVID L GOLDFEIN ST BLDG 23 HOLLOMAN AFB, NM 88330 and the phone number is (707) 424-5107.
Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.
