NPI Logo

“Independent Duty Medical Technicians” (Cannon Afb, NM)

Location: Cannon Afb, NM
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.
1033452206 — MR. JASON ANTHONY EVANS IDMT
Practice Location Address:
224 W D. L. INGRAM AVENUE BLDG. 1408
CANNON AFB NM
88101
Practice Phone: 310-686-2656
1053554204 — JILLIAN MARIE BEAUSOLEIL IDMT
Practice Location Address:
511 N TORCH BLVD RM 102B
CANNON AFB NM
88103-5109
Practice Phone: 575-784-0287
1083369938 — KEATON JAMES RIDER
Practice Location Address:
104 W D.L. INGRAM AVE
CANNON AFB NM
88101
Practice Phone: 575-784-2778
1083844054 — LINDSAY VINCENT IDMT
Practice Location Address:
208 W CASABLANCA AVE 27 SOMDG
CANNON AFB NM
88103-5009
Practice Phone: 575-784-0287
1215638101 — JESSE FERRELL IDMT
Practice Location Address:
224 W DL. INGRAM AVE BLDG 1408
CANNON AFB NM
88101
Practice Phone: 575-784-8512
1245931153 — JAKOB CREED
Practice Location Address:
224 W D. L. INGRAM AVE 1408
CANNON AFB NM
88101
Practice Phone: 832-472-1645
1295093912 — DESIREE ANDERSON IDMT
Practice Location Address:
208 W CASABLANCA AVE
CANNON AFB NM
88103-5009
Practice Phone: 850-217-8587
1346028149 — MAVERICK LEE PETERSON
Practice Location Address:
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB NM
88103
Practice Phone: 715-817-6949
1366686842 — MR. STEVEN BRANDON YATES IDMT
Practice Location Address:
208 W CASABLANCA AVE
CANNON AFB NM
88103-5009
Practice Phone: 575-784-7801
1497067839 — MR. RAY LEROY SCHATZ III IDMT
Practice Location Address:
511 N TORCH BLVD
CANNON AFB NM
88103-5109
Practice Phone: 575-784-0287
1497999684 — MR. FRANCISCO S DEGUZMAN IDMT-P
Practice Location Address:
208 W CASABLANCA AVE BLDG 1400 27 SOMDG - OSM
CANNON AFB NM
88103-5009
Practice Phone: 575-784-0287
1538699418 — ERIK M WALDRIP IDMT
Practice Location Address:
104 W D. L. INGRAM AVE
CANNON AFB NM
88101
Practice Phone: 277-857-5784
1578103461 — BENJAMIN ANDREW GALLENTINE
Practice Location Address:
224 W D.L. INGRAM BLVD
CANNON AFB NM
88103
Practice Phone: 755-784-2778
1598909012 — MARTIN OLEEN JENSEN IDMT
Practice Location Address:
119 E ARCADIA AVE BLDG 622 27 SPECIAL OPERATIONS SUPPORT SQDN/OSM
CANNON AFB NM
88103-5112
Practice Phone: 575-784-0287
1639313125 — MR. ANDREW SPRINGSTEAD
Practice Location Address:
208 W CASABLANCA AVE 27SOMDG
CANNON AFB NM
88103-5009
Practice Phone: 575-784-7516
1720874365 — LEANYELIT KATIUSKA ATKINSON
Practice Location Address:
224 W D. L. INGRAM AVE. BLDG. 1408
CANNON AFB NM
88103
Practice Phone: 575-904-6936
1790528115 — MATTHEW R ROOK
Practice Location Address:
27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB NM
88103
Practice Phone: 575-904-3917
1811730138 — APRIL MARIE VANHORN IDMT
Practice Location Address:
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB NM
88103
Practice Phone: 571-921-6251
1902449846 — BRANDI KONIECZYNSKI
Practice Location Address:
104 W D. L. INGRAM AVE
CANNON AFB NM
88101
Practice Phone: 575-904-3802

Copyright © 2007-2026 Data Labs Health. All rights reserved.