“Independent Duty Medical Technicians” (Mountain Home Afb, ID)

Location: Mountain Home Afb, ID
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.

1053814236 — KIRSTY LYNN HOUSE IDMT

Practice Location Address:

90 HOPE DR 366TH MEDICAL GROUP
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 208-828-6806

1053814236 mobile

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1174862692 — MR. DENNIS JACOB REUTER IDMT

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 360-304-2048

1174862692 mobile

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1326857137 — ZACHERY ORION GLICKMAN

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 813-334-0730

1326857137 mobile

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1528551751 — RYAN D KAINRATH IDMT

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 208-828-7100

1528551751 mobile

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1649530924 — MRS. SHELLEY CARTER

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 208-828-7401

1649530924 mobile

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1689985897 — DATHAN J SPINNEY IDMT

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 208-828-7401

1689985897 mobile

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1780566752 — NOAH COMSTOCK

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 702-653-2273

1780566752 mobile

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1861800096 — TYREE WOLF IDMT

Practice Location Address:

90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062

Practice Phone: 210-828-7401

1861800096 mobile

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1932942323 — MR. ERIC NATHAIN GALINDO JR. IDMT

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 208-828-7900

1932942323 mobile

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1942072145 — ZANE ELLIOTT IDMT

Practice Location Address:

90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057

Practice Phone: 208-828-7401

1942072145 mobile

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