Individual provider · Type 1 NPI

Meredith Rose Granholm, IDMT

Independent Duty Medical Technicians · Fairchild Afb, WA

NPI number 1750515342 Active

Practice location

701 Hospital Loop, 92 Amds/sgpe
Fairchild Afb, WA 99011-8704

Call (509) 247-5755 Map

Fax (507) 247-8833

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 1750515342

Meredith Rose Granholm, IDMT's National Provider Identifier is 1750515342, issued on May 11, 2009. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Fairchild Afb, WA. The record was last updated on May 11, 2009.