Individual provider · Type 1 NPI

Ezra Vaught

Independent Duty Medical Technicians · Yigo, GU

NPI number 1346154382 Active

Practice location

Building 26012, Carolines Avenue, Andersen Afb
Yigo, GU 96929

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 1346154382

Ezra Vaught's National Provider Identifier is 1346154382, issued on Sep 29, 2026. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Yigo, GU. The record was last updated on Sep 29, 2026.