Individual provider · Type 1 NPI
Ryan M. Bellack, IDMT
Independent Duty Medical Technicians · Hickam Afb, HI
Practice location
755 Scott Cir
Hickam Afb, HI 96853-5399
Mailing address
101 Bodin Cir
Travis Afb, CA 94535-1809
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 …
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About NPI 1093411902
Ryan M. Bellack, IDMT's National Provider Identifier is 1093411902, issued on Feb 2, 2023. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Hickam Afb, HI. The record was last updated on Jan 27, 2026.