Individual provider · Type 1 NPI

Charles Edward Holtz Jr., IDMT

Independent Duty Medical Technicians · Grand Forks Afb, ND

NPI number 1104050657 Active

Practice location

1599 J St
Grand Forks Afb, ND 58205-6306

Call (701) 747-5504 Map

Fax (701) 747-5923

Mailing address

2026 Spruce Dr, Unit A
Grand Forks, ND 58204-1864

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians Primary 1710I1003XNone 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 1104050657

Charles Edward Holtz Jr., IDMT's National Provider Identifier is 1104050657, issued on May 13, 2009. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Grand Forks Afb, ND. The record was last updated on May 13, 2009.