Glenn Wilson, IDMT
Glenn Wilson, IDMT is an Independent Duty Medical Technicians in Holloman AFB, New Mexico. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
280 David L Goldfein St Bldg 23Holloman AFB, NM 88330-8273
Phone: (707) 424-5107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Medical Technicians (primary) | Taxonomy 1710I1003X |
|---|
Record details
| NPI number | 1720401789 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDMT |
| Sole proprietor | No |
| NPI enumerated | January 28, 2014 |
| Last updated in NPPES | March 29, 2024 |
| Certification date | March 29, 2024 |
| Mailing address | 228 Seabury St, Suisun City, CA 94585-4107 |
Other providers in Holloman AFB
-
Merlin Jewell, IDMT
280 David L Goldfein St, Holloman AFB, NM 88330-8273 · (915) 568-8759
-
Noah Johnson, IDMT
280 1st St Bldg 23, Holloman AFB, NM 88330-8273 · (575) 572-0205
-
Mr. Joseph Marut
49 Mdg 280 David L Goldfein St Bldg 23, Holloman AFB, NM 88330 · (575) 572-0423
-
Norbu Tsering
280 David L Goldfein St Bldg 23, Holloman AFB, NM 88330-8273 · (575) 572-0733