Individual provider · Type 1 NPI

John Dudley Harris Jr., IDCDMT

Independent Duty Medical Technicians · San Diego, CA

NPI number 1467674150 Active

Practice location

33000 Nixie Way Bldg 50
San Diego, CA 92147-5101

Fax (619) 524-6670

Mailing address

6541 Hillgrove Dr
San Diego, CA 92120-4827

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 1467674150

John Dudley Harris Jr., IDCDMT's National Provider Identifier is 1467674150, issued on May 3, 2007. 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 Jul 8, 2007.