Individual provider · Type 1 NPI

Maverick Lee Peterson

Independent Duty Medical Technicians · Cannon Afb, NM

NPI number 1346028149 Active

Practice location

224 W D. L. Ingram Avenue, Bldg. 1408
Cannon Afb, NM 88103

Call (715) 817-6949 Map

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 1346028149

Maverick Lee Peterson's National Provider Identifier is 1346028149, issued on Sep 21, 2023. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Cannon Afb, NM. The record was last updated on Feb 2, 2024.