Timothy Blake Wilder, IDMT
Timothy Blake Wilder, IDMT is an Independent Duty Medical Technicians in Scott AFB, Illinois. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
310 W Losey StScott AFB, IL 62225-5250
Phone: (618) 256-8970
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Specialties & licences
| Independent Duty Medical Technicians (primary) | Taxonomy 1710I1003X |
|---|
Record details
| NPI number | 1184858045 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDMT |
| Sole proprietor | Yes |
| NPI enumerated | May 7, 2009 |
| Last updated in NPPES | May 7, 2009 |
| Mailing address | 68 Circle Dr, Fairview Heights, IL 62208-3303 |
Other providers in Scott AFB
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D'Mario Revere, IDMT
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Zachary B Reynolds
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Mr. Collin Schroeder, IDMT
310 W Losey St, Scott AFB, IL 62225-5250 · (618) 256-7311
-
Cole Melsa Tomin, IDMT
310 W Losey St, Scott AFB, IL 62225-5250 · (618) 256-9355
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Andrew Zavala, IDMT
310 W Losey St 375th Mdg/sgopg, Scott AFB, IL 62225-5250 · (618) 256-7129