Ivan Vicente, IDMT
Ivan Vicente, IDMT is an Independent Duty Medical Technicians in Ellsworth AFB, South Dakota. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
433 Black Elk CtEllsworth AFB, SD 57706-1847
Phone: (605) 521-3502
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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 | 1710201553 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDMT |
| Sole proprietor | No |
| NPI enumerated | March 23, 2010 |
| Last updated in NPPES | March 23, 2010 |
| Mailing address | 433 Black Elk Ct, Ellsworth Afb, SD 57706-1847 |
Other providers in Ellsworth AFB
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Adrianne Rae Littles
2900 Doolittle Dr, Ellsworth AFB, SD 57706 · (605) 385-6700
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Brianna Lynn Middel
2900 Doolittle Dr, Ellsworth AFB, SD 57706-4821 · (605) 385-3419
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Diane Ramirez, IDMT
2900 Doolittle Dr, Ellsworth AFB, SD 57706-4821 · (605) 835-3332
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Mr. Michael John-Paul Triana, IDMT
2900 Doolittle Dr, Ellsworth AFB, SD 57706-4821 · (316) 640-2150
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Anthony Zunker
2900 Doolittle Dr, Ellsworth AFB, SD 57706-4821 · (605) 385-3002