Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Damon Edwin Shanks, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1649503558

Mr. Damon Edwin Shanks, IDMT is an Independent Duty Medical Technicians in Springfield, Ohio. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

5215 Fontaine Ln
Springfield, OH 45502-9816
Phone: (937) 525-2582
Fax: (937) 327-2387
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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 number1649503558
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedSeptember 9, 2009
Last updated in NPPESSeptember 9, 2009