IndividualActive
Clyde Nobles, IDMT
NPI 1255565149 · Independent Duty Medical Technicians · Scott Afb, IL
Provider details
- NPI number
- 1255565149
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
375 Mdg
Scott Afb, IL 62225
Phone: (618) 256-7551
Approximate (ZIP-level) locationGet directions
Mailing address
375 Mdg
Scott Afb, IL 62225
Registry dates
- Enumerated
- 2009-05-07
- Last updated
- 2009-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.