IndividualActive
Wayne Johnson, IDMT
NPI 1285863043 · Independent Duty Medical Technicians · Fairchild Afb, WA
Provider details
- NPI number
- 1285863043
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
2504 S Chicago St
Fairchild Afb, WA 99011-8548
Phone: (509) 247-5414
Approximate (ZIP-level) locationGet directions
Mailing address
2504 S Chicago St
Fairchild Afb, WA 99011-8548
Registry dates
- Enumerated
- 2009-07-14
- Last updated
- 2009-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.