IndividualActive
Michael Etheredge, IDMT
NPI 1639729106 · Independent Duty Medical Technicians · Langley Afb, VA
Provider details
- NPI number
- 1639729106
- 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
77 Nealy Ave
Langley Afb, VA 23665-2040
Phone: (757) 764-6800
Approximate (ZIP-level) locationGet directions
Mailing address
77 Nealy Ave
Langley Afb, VA 23665-2040
Registry dates
- Enumerated
- 2019-09-17
- Last updated
- 2019-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.