“Independent Duty Medical Technicians” (Hickam Afb, HI)

Location: Hickam Afb, HI
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.

1093411902 — RYAN M BELLACK IDMT

Practice Location Address:

755 SCOTT CIR
HICKAM AFB HI
96853-5399

Practice Phone: 808-430-8898

1093411902 mobile

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1124262746 — MR. JOHN CRAIG BRIGHT IDMT

Practice Location Address:

15MDOS/SGOMF 755 SCOTT CIRCLE
HICKAM AFB HI
96853-3672

Practice Phone: 808-448-6729

1124262746 mobile

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1154556280 — MR. RODNEY VALDECANAS ACASIO IDMT

Practice Location Address:

310 WORCHESTER AVE BLDG 45
HICKAM AFB HI
96853-5530

Practice Phone: 808-474-4959

1154556280 mobile

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1467028514 — MISS MA SEKINA SANVICTORES IDMT

Practice Location Address:

755 SCOTT CIR
HICKAM AFB HI
96853-5399

Practice Phone: 888-683-2778

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1558979047 — AUBREY LYNN ROWE IDMT

Practice Location Address:

755 SCOTT CIR
HICKAM AFB HI
96853-5399

Practice Phone: 808-448-6763

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1639300312 — CAMERON MODISETTE

Practice Location Address:

755 SCOTT CIR
HICKAM AFB HI
96853-5399

Practice Phone: 808-448-6203

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1730318791 — MARK P PICCHIONE IDMT

Practice Location Address:

310 WORCHESTER AVE BLDG 45
HICKAM AFB HI
96853-5530

Practice Phone: 808-474-4960

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1912141557 — MR. BOBBY L. WOODS IDMT

Practice Location Address:

310 WORCHESTER AVE BLDG 45 JPAC MEDICAL SECTION
HICKAM AFB HI
96853-5530

Practice Phone: 808-474-4957

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