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“Independent Duty Medical Technicians” (Scott Air Force Base, IL)

Location: Scott Air Force Base, IL
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.
1295679454 — DANIEL KURT MOFFETT
Practice Location Address:
4621 PATRICK HENRY CIR UNIT A
SCOTT AIR FORCE BASE IL
62225-6846
Practice Phone: 814-323-0666
1477784312 — DEREK COWEN IDMT
Practice Location Address:
505 RIMKUS DRIVE
SCOTT AIR FORCE BASE IL
62225
Practice Phone: 940-636-2753

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