Individual provider · Type 1 NPI

Spencer Freres Jefferson, IDHS

Independent Duty Medical Technicians · San Diego, CA

NPI number 1447136288 Active

Practice location

38990 Midway Ave
San Diego, CA 92140-5560

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 1447136288

Spencer Freres Jefferson, IDHS's National Provider Identifier is 1447136288, issued on Aug 15, 2025. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in San Diego, CA. The record was last updated on Aug 15, 2025.