IndividualActive
Mark Thomas, IDMT
NPI 1396988705 · Independent Duty Medical Technicians · Maxwell Afb, AL
Provider details
- NPI number
- 1396988705
- 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
501 Lemay Plz N
Maxwell Afb, AL 36112-6025
Phone: (334) 953-8579
Approximate (ZIP-level) locationGet directions
Mailing address
501 Lemay Plz N
Maxwell Afb, AL 36112-6025
Registry dates
- Enumerated
- 2009-04-15
- Last updated
- 2009-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.