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

Mr. Robert Gregory Nydam, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1184867301

Mr. Robert Gregory Nydam, IDMT is an Independent Duty Medical Technicians in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2009.

Licensed in
NV
In the registry since
2009
Specialties on file
2

Practice location Address checks out

888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone: (702) 877-8600
Fax: (702) 258-6152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NV)
Independent Duty Medical Technicians Taxonomy 1710I1003X

Record details

NPI number1184867301
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedApril 17, 2009
Last updated in NPPESJanuary 23, 2017

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