IndividualActive
Rodney Bosserman, IDMT
NPI 1558714428 · Independent Duty Medical Technicians · Wright Patterson Afb, OH
Provider details
- NPI number
- 1558714428
- 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
4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Phone: (937) 257-0837
Approximate (ZIP-level) locationGet directions
Mailing address
4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529
Registry dates
- Enumerated
- 2016-07-15
- Last updated
- 2016-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.