Individual provider · Type 1 NPI
Jerrica Marie Wild
Independent Duty Medical Technicians · Beale Afb, CA
Practice location
15301 Warren Shingle Road
Beale Afb, CA 95903
Mailing address
15301 Warren Shingle Rd
Beale Afb, CA 95903-1907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Medical Technicians Primary | 1710I1003X | None listed |
Independent Duty Medical Technicians: An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe …
4 other providers at this address
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- James Thomas Feldhausen, IDMTIndependent Duty Medical Technicians Beale Afb, CA NPI 1538302823
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- Jenna Danielle Gasper, IDMTIndependent Duty Medical Technicians Beale Afb, CA NPI 1699918979
- Tanisha E. HarrisonIndependent Duty Medical Technicians Beale Afb, CA NPI 1750516530
- Michell Marian Girton, IDMTIndependent Duty Medical Technicians Beale Afb, CA NPI 1851526057
- Stephen Michael Wheeler, IDMTIndependent Duty Medical Technicians Beale Afb, CA NPI 1851634026
About NPI 1003109844
Jerrica Marie Wild's National Provider Identifier is 1003109844, issued on May 26, 2011. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Beale Afb, CA. The record was last updated on Nov 22, 2011.