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Military Health Care Provider Independent Duty Medical Technicians Providers in Idaho

1710I1003X Idaho
24Providers in state
24Individuals
1/1Page

A directory of 24 health care providers with a business address in Idaho whose primary or secondary taxonomy code is 1710I1003X (Military Health Care Provider Independent Duty Medical Technicians). About taxonomy code 1710I1003X ›

Idaho Military Health Care Provider Independent Duty Medical Technicians Directory

Showing 24 providers on page 1 of 1, sorted by last name / organization name. Use the bar below to filter the providers on this page.

SETH E ALLAN, IDMT
No PECOS
90 HOPE DR BLDG 6000
Mountain Home Afb, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1043714942 (208) 828-7401
CASEY LEE BURNS, IDMT
No PECOS
84 BOMBER RD, 726TH AIR CONTROL SQUADRON
Mountain Home A F B, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1760626584 (208) 828-3604
SHELLEY CARTER
No PECOS
90 HOPE DR BLDG 6000
Mountain Home Afb, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1649530924 (208) 828-7401
ZANE ELLIOTT, IDMT
No PECOS
90 HOPE DR
Mountain Home Afb, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1942072145 (208) 828-7401
AMY JO GLOVER
No PECOS
90 HOPE DR. BLDG 6000
Mountain Home, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1851528392 (208) 828-7401
KRISTEN ANNE LEWIS
No PECOS
90 HOPE DR BLDG 6000
Mountain Home A F B, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1942533419 (208) 728-7401
JULIAN KEITH LITTLE
No PECOS
MOUNTAIN HOME AFB, 90 HOPE DR. BLDG 6000/366 MED GP/AMDS/SGPF
Mountain Home, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1447480686 (208) 828-7401
DANE A. LOOMAN, IDMT
No PECOS
84 BOMBER RD, 726 ACS/SG
Mountain Home A F B, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1518101245 (208) 828-3604
TYREE WOLF, IDMT
No PECOS
90 HOPE DR BLDG 6000
Mountain Home Afb, ID 83648
  • Not in PECOS data
  • Individual · Independent Duty Medical Technicians
NPI 1861800096 (210) 828-7401

Frequently Asked Questions

As of the latest NPPES update, 24 providers in Idaho are registered under taxonomy code 1710I1003X (Military Health Care Provider Independent Duty Medical Technicians). All of them are registered as individual providers. Among the individual providers, 8 are female and 16 are male.

Each card shows a PECOS badge based on the CMS Order and Referring dataset. A green PECOS badge means the provider appears in that dataset as eligible to order and refer. Open the provider profile, then verify directly in PECOS before relying on it for claims or credentialing.

The directory is rebuilt from the public NPPES registry, which is refreshed weekly. The NPI data on this page was last updated on July 5, 2026. A provider that recently updated their record may take a short time to appear here.

Provider Composition & Statistics

24Total providers
24Individuals 100%
8Female
16Male

Among individual providers:

33% F67% M

Counts reflect Idaho. Gender is recorded for individual providers only. Source: NPPES.

Provider data from the National Plan and Provider Enumeration System (NPPES), refreshed weekly. PECOS status from the CMS Medicare Order and Referring dataset. Taxonomy from the NUCC code set, Version 26.0.