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 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.