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

Mr. Myles Stark, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1831967744

Mr. Myles Stark, IDMT is an Independent Duty Medical Technicians in Nellis AFB, Nevada. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
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 number1831967744
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedDecember 20, 2023
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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