GLENN WILSON, IDMT

Military Health Care Provider - Independent Duty Medical Technicians

Active Individual
NPI: 1720401789

Practice Address

280 DAVID L GOLDFEIN ST BLDG 23
Holloman Afb, NM 88330

Phone: (707) 424-5107

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Medical Technicians 1710I1003X Yes -

Frequently Asked Questions

NPI 1720401789 is the National Provider Identifier for GLENN WILSON, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Holloman Afb, NM. This NPI was enumerated on January 28, 2014.
GLENN WILSON, IDMT practices at 280 DAVID L GOLDFEIN ST BLDG 23, Holloman Afb, NM 88330.

Quick Facts

NPI
1720401789
Type
Individual
Enumerated
Jan 28, 2014
Last Updated
Mar 29, 2024

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