Individual provider · Type 1 NPI

Nicole Pennock, IDMT

Independent Duty Medical Technicians · Mcguire Afb, NJ

NPI number 1508000225 Active

Practice location

3458 Neely Rd
Mcguire Afb, NJ 08641

Call (609) 754-9080 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 1508000225

Nicole Pennock, IDMT's National Provider Identifier is 1508000225, issued on Apr 24, 2009. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Mcguire Afb, NJ. The record was last updated on Apr 24, 2009.