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“Independent Duty Medical Technicians” (Travis Afb, CA)

Location: Travis Afb, CA
Taxonomy: Independent Duty Medical Technicians.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1003043761 — EDWARD SEAN RODRIGUEZ I.D.M.T
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-5478
1033527262 — TIMOTHY ENO IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3987
1033607478 — STEVEN CORREA
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-816-4178
1194607168 — KEVIN DEWAYNE DODD JR. IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3825
1205790375 — ANDREW M NULL
Practice Location Address:
60 MDG / SGGE 101 BODIN CIRCLE
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3825
1255566915 — MR. KEITH JOHN BARTON IDMT
Practice Location Address:
531 WALDRON ST STE D 349TH AEROSPACE MEDICINE SQADRON
TRAVIS AFB CA
94535-2125
Practice Phone: 707-424-3812
1275055964 — TIMOTHY ROHLFING IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3825
1285868034 — MRS. VERONCIA RIVAS DESTURA IDMT
Practice Location Address:
101 BODIN CIR 60 MDOS
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3826
1306070511 — MRS. ABIGAIL RIVERA
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-5430
1366775355 — MR. DOUGLAS DWIGHT CALDWELL II IDMT
Practice Location Address:
150 FITZGERALD DR
TRAVIS AFB CA
94535-1205
Practice Phone: 925-864-1099
1376352161 — KRISTIN L GILES
Practice Location Address:
60 MDG / SGXP 101 BODIN CIRCLE
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3909
1386287225 — TERESA MONTEON
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3076
1427525831 — JOHN VARNER IDMT
Practice Location Address:
60 MDG / SME 101 BODIN CIRCLE
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3000
1437551702 — JONATHAN SAPLAN IDMT
Practice Location Address:
60 MDG/SGXP 101 BODIN CIRCLE
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3909
1457654055 — MR. BENJAMIN JACOB LIFTO IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-208-1292
1467683623 — NICHOLE REID IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-5478
1467686501 — MRS. VANITY SHANEKA DAVIS IDMT
Practice Location Address:
101 BODIN CIR SGPF
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3247
1467686543 — MRS. MARY ISSITT IDMT
Practice Location Address:
DAVID GRANT MEDICAL CENTER 101 BODIN CIRCLE
TRAVIS AFB CA
94535-0001
Practice Phone: 707-816-5950
1477971646 — MICHAEL BALL IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 719-393-2097
1487888699 — NICHOLSON ADOLFO BORJA IDMT
Practice Location Address:
101 BODIN CIR 60TH AMDS/SGPF
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3247
1487998811 — BENJAMIN D. DELLACCA IDMT
Practice Location Address:
101 BODIN CIR 60 MDOS/SGOE
TRAVIS AFB CA
94535-1809
Practice Phone: 707-761-5509
1518191758 — KORY RIVERA IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-426-7155
1558243519 — SARAH CURRY
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3025
1558595694 — ERIC LOUIS ABRAM IDMT
Practice Location Address:
101 BODIN CIR 60 AMDS/ SGPF
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3247
1598021990 — ANNKATHLYLN REYES HIDALGO IDMT
Practice Location Address:
117 BRADLEY BLVD
TRAVIS AFB CA
94535-1345
Practice Phone: 303-993-9275
1598182214 — MATTHEW WHEATON BURNS IDMT
Practice Location Address:
105 COLORADO ST
TRAVIS AFB CA
94535-1255
Practice Phone: 707-718-5028
1609484195 — MR. JUSTIN DRISCOLL IDMT/EMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3247
1649404807 — MR. KEVIN LIONEL ST PATRICK MOORE IDMT
Practice Location Address:
101 BODIN CIR SGPF
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7225
1649810458 — ANDREW LAWRENCE PIERSON IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3964
1689136871 — AMBER LAUREN YOUNG IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 860-382-3712
1689343980 — SHAWN REGINA MCMAHAN
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 937-408-8980
1710409404 — ENRIQUE TRUJEQUE IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 593-781-9721
1750118436 — MICAELA BOYD
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3040
1760740484 — REBECCA LEE FLORES IDMT
Practice Location Address:
60MDG/60 MDOS 101 BODIN CIRCLE
TRAVIS AFB CA
94535-1800
Practice Phone: 210-441-9221
1770232753 — BRODY TANNER EHALT IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3826
1770233660 — MR. ISAAC DANIEL JAMES JR. IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 661-390-8396
1811121072 — MRS. ERIKA CHRISTINA CRAIG IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3826
1861889297 — ANDREW THOMPSON IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3117
1912131426 — JESSE VARGAS IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-5423
1912328857 — JUSTIN STINSON
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-424-7222
1942434089 — MS. ADRIENNE ROSE VERA-MAHAFFEY IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-5395
1942539630 — SERALVIN V BURGOS IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-3537
1952651168 — CARL ANTHONY YAMBAO IDMT
Practice Location Address:
101 BODIN CIR DGMC ER
TRAVIS AFB CA
94535
Practice Phone: 707-423-3826
1952737561 — AARON VLASEK IDMT
Practice Location Address:
101 BODIN CIR
TRAVIS AFB CA
94535-1809
Practice Phone: 707-423-7295

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