Individual provider · Type 1 NPI

Alex Jacob Christian Moore

Independent Duty Medical Technicians · Luke Afb, AZ

NPI number 1265242846 Active

Practice location

7219 N Litchfield Rd Bldg 1130
Luke Afb, AZ 85309-1529

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 1265242846

Alex Jacob Christian Moore's National Provider Identifier is 1265242846, issued on Jan 7, 2025. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Luke Afb, AZ. The record was last updated on Oct 23, 2025.