IndividualActive
Matthew Wilcox, IDMT
NPI 1447826714 · Independent Duty Medical Technicians · Fairchild Afb, WA
Provider details
- NPI number
- 1447826714
- 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
701 Hospital Loop
Fairchild Afb, WA 99011-8704
Phone: (509) 247-9620
Approximate (ZIP-level) locationGet directions
Mailing address
701 Hospital Loop
Fairchild Afb, WA 99011-8704
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.