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

Mr. Jason Anthony Evans, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1033452206

Mr. Jason Anthony Evans, IDMT is an Independent Duty Medical Technicians in Cannon AFB, New Mexico. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

224 W D L Ingram Ave Bldg 1408
Cannon AFB, NM 88101
Phone: (310) 686-2656
Show map & directions

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 number1033452206
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedApril 5, 2013
Last updated in NPPESMarch 22, 2024
Certification dateMarch 20, 2024

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