Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Dallas Omar McWilliams, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1912504093

Mr. Dallas Omar McWilliams, IDMT is an Independent Duty Medical Technicians in Fairfield, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

101 Bodin Cir
Fairfield, CA 94535-1809
Phone: (707) 423-3000
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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 number1912504093
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedOctober 2, 2020
Last updated in NPPESJune 15, 2022
Certification dateJune 9, 2022

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