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“Independent Duty Medical Technicians” (Nellis Afb, NV)

Location: Nellis Afb, NV
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.
1013150390 — MR. CARL ALAN VETTER IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N 99 MDG/SGNE
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-3014
1053809491 — JAMES MILLER IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1073052965 — JEFFERY MITSCHKE IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-231-3238
1073846051 — MR. BRANDON C KAHILI IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-231-3238
1124253554 — MS. FREDA ANN HENDERSON
Practice Location Address:
4250 GRIFFISS AVE
NELLIS AFB NV
89191-7018
Practice Phone: 702-404-1142
1124378336 — STEPHEN MARK SAUER IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1124887401 — BRYAN ESPOSITO IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1134357163 — DEJNEKKI AYANA PEYTON
Practice Location Address:
4250 GRIFFISS AVE
NELLIS AFB NV
89191-7018
Practice Phone: 702-404-0425
1194597393 — JULIA NOEL EVANS IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1215295936 — PAULA LYNN MOUNGSIHARAT IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-3500
1245837392 — CAMERON SPRINGER
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 800-382-9051
1255560462 — MR. JORDAN LAWRENCE IDMT
Practice Location Address:
1579 MALMSTROM AVENUE
NELLIS AFB NV
89191
Practice Phone: 702-652-1542
1306104021 — KAYLEIGH MADISON MCAVINEY IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-3403
1417480054 — DANIEL POTTER IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 907-602-3280
1497983332 — CHRISTOPHER LEE CLARK IDMT
Practice Location Address:
5179 MALMSTROM AVE
NELLIS AFB NV
89191-6126
Practice Phone: 702-652-1542
1508292111 — ZACHARY T.H. PINGREE IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-1344
1528742293 — JEFFERY SCOTT LATINO IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1528935228 — KAYLI OKEEFE IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1619602851 — MADELYNN R JOHNSON IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1639503444 — HUGO SILVA
Practice Location Address:
4311 CARSWELL AVE BLDG 340
NELLIS AFB NV
89191-7069
Practice Phone: 702-653-2766
1639814973 — JERAKA QUENGA PARAMEDIC
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1649865775 — VENUS TAMARA CRUZ IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1689417073 — MS. RAEANN Y ESPINOZA IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1750648879 — DWINESE MARISE AIRD IDMT/PARAMEDIC
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1770726093 — MR. MICHAEL L KLEIN IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-875-1475
1780037036 — CODIE JAMES WHITE 'IDMT'
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 505-270-5330
1780258772 — MAYSON H KILE IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1821339268 — DONALD GORDON BERGER II IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-231-3238
1831967744 — MR. MYLES STARK IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1841151453 — ROSS KONICKE
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1851527279 — MR. NICANOR MERCADO LAUDATO JR. IDMT
Practice Location Address:
4250 GRIFFISS AVE
NELLIS AFB NV
89191-7018
Practice Phone: 702-404-1142
1851931869 — JESSE EDUARDO BELTRAN
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-3105
1861099939 — MR. ANDREW GARCIA IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-404-1142
1881828812 — KELLIE BOISSE IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2766
1891921193 — ANGELA LEILANI QUINONES IDMT
Practice Location Address:
4250 GRIFFISS AVE
NELLIS AFB NV
89191-7018
Practice Phone: 702-249-0516
1902787500 — MIKE O'CALLAGHAN MILITARY MEDICAL CENTER
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1922585140 — HEATHER FORD IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1952532814 — UNITED STATES AIR FORCE
Practice Location Address:
4250 GRIFFISS AVE
NELLIS AFB NV
89191-7018
Practice Phone: 702-404-1142
1962638668 — SHAWN EVERETT GELNETT
Practice Location Address:
4700 LAS VEGAS BLVD N BLDG 1300
NELLIS AFB NV
89191-6601
Practice Phone: 702-652-9930
1962828806 — LAVON JOHNSON IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1972485944 — ALEXIS ANTHONY BROWNANDIA JR.
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1992150569 — NICHOLAS CHARLES KERN IDMT
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-2273
1992449508 — TREVOR REEF MOSHER IDMT AIR FORCE
Practice Location Address:
4700 LAS VEGAS BLVD N
NELLIS AFB NV
89191-6600
Practice Phone: 702-653-3961

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