Individual provider · Type 1 NPI

Miguel Antonio Rodriguez Jr., IDMT

Independent Duty Medical Technicians · Joint Base Lewis Mcchord, WA

NPI number 1982175113 Active

Practice location

690 Barnes Blvd
Joint Base Lewis Mcchord, WA 98438-1303

Call (180) 040-4450 Map

Mailing address

19330 18th Avenue Ct E
Spanaway, WA 98387-8590

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 1982175113

Miguel Antonio Rodriguez Jr., IDMT's National Provider Identifier is 1982175113, issued on Dec 16, 2018. The primary taxonomy on file is Independent Duty Medical Technicians (1710I1003X), and the practice location is in Joint Base Lewis Mcchord, WA. The record was last updated on Dec 16, 2018.