Individual provider · Type 1 NPI

Timothy Blake Wilder, IDMT

Independent Duty Medical Technicians · Scott Afb, IL

NPI number 1184858045 Active

Practice location

310 W Losey St
Scott Afb, IL 62225-5250

Call (618) 256-8970 Map

Mailing address

68 Circle Dr
Fairview Heights, IL 62208-3303

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 1184858045

Timothy Blake Wilder, IDMT's National Provider Identifier is 1184858045, issued on May 7, 2009. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Scott Afb, IL. The record was last updated on May 7, 2009.