Individual provider · Type 1 NPI

Keaton James Rider

Independent Duty Medical Technicians · Cannon Afb, NM

NPI number 1083369938 Active

Practice location

104 W D.l. Ingram Ave
Cannon Afb, NM 88101

Mailing address

6948 Campos Ave Unit B
Jber, AK 99506-3423

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians Primary 1710I1003XL5ALJ4N051C00AB (TX)

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 …

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About NPI 1083369938

Keaton James Rider's National Provider Identifier is 1083369938, issued on Feb 18, 2022. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Cannon Afb, NM. The record was last updated on Aug 2, 2022.