Military Health Care Provider Independent Duty Medical Technicians Health Providers - ARIZONA
1710I1003X - Military Health Care Provider Independent Duty Medical Technicians
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.
List of 42 registered providers with a business address in Arizona whose primary or secondary health provider taxonomy code is Military Health Care Provider Independent Duty Medical Technicians, of which 1 are registered as organizations and 41 as individuals.
List of Providers
Provider Name | Type | Address | Medicare | PECOS | |
---|---|---|---|---|---|
HUMBERTO ALCOCER | Individual | 4159 W 3RD PL YUMA, AZ 85364 (937) 361-3628 | Non-Participating Provider | NO | |
DUSTIN ALFORD | Individual | 4280 E BURNSEY LN KINGMAN, AZ 86401 (928) 529-6787 | Non-Participating Provider | NO | |
AARON ALVAREZ | Individual | 18026 W CAROL AVE WADDELL, AZ 85355 (623) 341-4986 | Non-Participating Provider | NO | |
MICHAEL C ARENA | Individual | 4625 SOUTH PHOENIX STREET BLDG 4843 TUCSON, AZ 85707 (520) 228-4848 | Non-Participating Provider | NO | |
VIRGINIA E. BAILEY | Individual | 4837 S PHOENIX ST. RM 119 DAVIS-MONTHAN AIR FORCE BASE TUCSON, AZ 85707 (520) 228-1860 | Non-Participating Provider | NO | |
BIBLICAL BOTANICALS LLC. | Organization | 3617 W EL CAMINO DR PHOENIX, AZ 85051 (480) 290-6071 | Non-Participating Provider | NO | |
RONALD JOHN BORGSTROM | Individual | 15053 W MULBERRY DR GOODYEAR, AZ 85395 (619) 988-2281 | Non-Participating Provider | NO | |
LUCILLE MARY BROWN | Individual | 4175 S ALAMO AVE DAVIS MONTHAN AFB TUCSON, AZ 85707 (520) 228-2721 | Non-Participating Provider | NO | |
JUSTIN CHIASSON | Individual | 4175 S ALAMO AVE BLDG 400 DAVIS MONTHAN AFB, AZ 85707 (626) 715-8203 | Non-Participating Provider | NO | |
JAYME L CLINE | Individual | 4175 S ALAMO AVE DAVIS MONTHAN AFB, AZ 85707 (940) 228-2600 | Non-Participating Provider | NO | |
JOHN DALE COMPTON | Individual | 4212 N 16TH ST PHOENIX, AZ 85016 (602) 263-1200 | Non-Participating Provider | NO | |
JESSE CURTIS | Individual | 7219 N LITCHFIELD RD GLENDALE, AZ 85309 (907) 891-5274 | Non-Participating Provider | NO | |
NGU QUANG DO | Individual | 407 CAMPBELL ST PRESCOTT, AZ 86301 (575) 218-6022 | Non-Participating Provider | NO | |
EMERSON M EARLE | Individual | 4625 S. PHOENIX ST BLD 4843 TUCSON, AZ 85707 (520) 203-2666 | Non-Participating Provider | NO | |
TRACEY L GILMORE | Individual | 3739 W HELENA DR GLENDALE, AZ 85308 (481) 414-6513 | Non-Participating Provider | NO | |
DAVID WAYNE HERTZBERG | Individual | 3617 W EL CAMINO DR PHOENIX, AZ 85051 (480) 290-6071 | Non-Participating Provider | NO | |
DANIEL ADAM JOHNSON | Individual | 8697 S DESERT RAINBOW DR TUCSON, AZ 85747 (520) 861-0580 | Non-Participating Provider | NO | |
SHAUNA JONES | Individual | 3668 W ANTHEM WAY ANTHEM, AZ 85086 (480) 643-0527 | Non-Participating Provider | NO | |
DAVID E KOHLER-EDWARDS | Individual | 1670 E. PERIMETER WAY 162ND MEDICAL GROUP/ARIZONA AIR NATIONAL GUARD TUCSON, AZ 85706 (520) 295-6172 | Non-Participating Provider | NO | |
NATHAN ANDREW LAWSON | Individual | 2336 E LIBRA PL CHANDLER, AZ 85249 (480) 747-0987 | Non-Participating Provider | NO | |
NORA P LERNER | Individual | 7701 W ASPERA BLVD GLENDALE, AZ 85308 (623) 248-2100 | Accepts Medicare | YES | |
DAVE ALAN LEWIS | Individual | 14793 W CORSAIR ST LUKE AFB, AZ 85309 (623) 856-7340 | Non-Participating Provider | NO | |
DEON DENISE MADSEN | Individual | 4880 N SABINO CANYON RD #17176 TUCSON, AZ 58750 (520) 309-8216 | Non-Participating Provider | NO | |
VIANCA MENDOZA | Individual | 17714 W DESERT LN SURPRISE, AZ 85388 (720) 979-5919 | Non-Participating Provider | NO | |
CASEY MULCAHY | Individual | 2748 N 60TH ST SCOTTSDALE, AZ 85257 (210) 289-4527 | Non-Participating Provider | NO | |
DANIEL NORED | Individual | 4175 S ALAMO AVE DM AFB, AZ 85707 (520) 228-2721 | Non-Participating Provider | NO | |
CHARLES DELVON PICKETT | Individual | 7019 N LITCHFIELD AVE LUKE AFB, 56/AMDS LUKE AFB, AZ 85309 (623) 856-7527 | Non-Participating Provider | NO | |
ALAN THATCHER PRICE | Individual | 4175 S ALAMO AVE TUCSON, AZ 85707 (520) 228-4910 | Non-Participating Provider | NO | |
HILDA IMELDA RIOS | Individual | 4175 S ALAMO AVE TUCSON, AZ 85707 (520) 228-2721 | Non-Participating Provider | NO | |
CHRISTIAN RITACCO | Individual | 6302 E SABER LOOP UNIT A TUCSON, AZ 85708 (850) 218-6885 | Non-Participating Provider | NO | |
RAUL ROMERO | Individual | 4575 S. PHOENIX ST. 563RD OSS DMAFB, AZ 85707 (520) 228-1859 | Non-Participating Provider | NO | |
ESMAT MARIE SABBAGH | Individual | 5020 E ARIZOLA ST DAVIS MONTHAN AFB, AZ 85707 (520) 228-3104 | Non-Participating Provider | NO | |
DUSTIN C SANDQUIST | Individual | 16187 S SANTA RITA SHADOWS DR VAIL, AZ 85641 (256) 677-9625 | Non-Participating Provider | NO | |
KAYCI SERINO | Individual | 7219 N LITCHFIELD RD GLENDALE, AZ 85309 (603) 496-9645 | Non-Participating Provider | NO | |
BRADLEY WILLIAM SNYDER | Individual | 7224 NORTH 139TH AVENUE GLENDALE, AZ 85309 (623) 856-9742 | Non-Participating Provider | NO | |
BRANDON TARDI | Individual | 6200 N ORACLE RD APT 180 TUCSON, AZ 85704 (850) 217-2902 | Non-Participating Provider | NO | |
RYAN N TAYLOR | Individual | 400, 4175 S ALAMO AVE DAVIS-MONTHAN AFB, AZ 85707 (530) 228-2778 | Non-Participating Provider | NO | |
NATHANIA A VALDEZ | Individual | 4175 SOUTH ALAMO AVE TUCSON, AZ 85707 (520) 228-2778 | Non-Participating Provider | NO | |
AMBER MARIE WERNER | Individual | 9603 N 179TH DR WADDELL, AZ 85355 (623) 824-5353 | Non-Participating Provider | NO | |
ANTHONY BRADFORD WILSON | Individual | 7219 N LITCHFIELD RD GLENDALE, AZ 85309 (623) 856-2793 | Non-Participating Provider | NO | |
CHRISTOPHER THOMAS YARBROUGH | Individual | 4625 SOUTH PHOENIX STREET BLDG 4843 TUCSON, AZ 85707 (520) 449-3063 | Non-Participating Provider | NO | |
ROBERT ANTHONY ZAMOIDA | Individual | 4575 S. PHOENIX ST. DMAFB, AZ 85707 (520) 228-1858 | Non-Participating Provider | NO |
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