GLENN WILSON IDMT
NPI 1720401789
Military Health Care Provider - Independent Duty Medical Technicians in Holloman Afb, NM

Active since January 28, 2014
280 DAVID L GOLDFEIN ST BLDG 23, HOLLOMAN AFB, NM 88330(707) 424-5107 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1720401789
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameGLENN WILSONCredential: IDMT
Location Address280 DAVID L GOLDFEIN ST BLDG 23Holloman Afb, NM 88330-8273
Mailing Address228 Seabury StSuisun City, CA 94585-4107
Sole ProprietorNo
Enumeration DateJanuary 28, 2014
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
NPI 1720401789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
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.

280 DAVID L GOLDFEIN ST BLDG 23, Holloman Afb, NM 88330

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.

Physician Assistant
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330
Social Worker
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330
Dietitian, Registered
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330
Social Worker (Clinical)
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330
Psychologist (Clinical)
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330
Pediatrics
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330
Military Health Care Provider (Independent Duty Medical Technicians)
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330
General Practice
280 DAVID L GOLDFEIN ST BLDG 23
HOLLOMAN AFB, NM 88330

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 Glenn Wilson's NPI number?

The NPI number for Glenn Wilson is 1720401789. It was assigned to this individual provider in the NPPES registry on January 28, 2014.

Where is Glenn Wilson located?

Glenn Wilson practices at 280 David L Goldfein St Bldg 23, Holloman Afb, NM 88330. The listed phone number is (707) 424-5107.

What is Glenn Wilson'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 Glenn Wilson was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.