Individual provider · Type 1 NPI

Leticia Yvonne Brazil, MILITARY PROVIDER

Independent Duty Medical Technicians · Whiteman Afb, MO

NPI number 1174889562 Active

Practice location

331 Sijan Ave.
Whiteman Afb, MO 65305-5001

Mailing address

207 SW T Hwy
Kingsville, MO 64061-9229

Specialties and licenses

TaxonomyCodeLicense
Paramedic 146L00000XM5025933 (GA)
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 1174889562

Leticia Yvonne Brazil, MILITARY PROVIDER's National Provider Identifier is 1174889562, issued on Apr 10, 2012. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Whiteman Afb, MO. The record was last updated on Feb 17, 2022.