IndividualActive
Hyo Im, IDMT
NPI 1124797402 · Independent Duty Medical Technicians · Ellsworth Afb, SD
Provider details
- NPI number
- 1124797402
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Practice location
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone: (605) 385-6700
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2021-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.