IndividualActive
Codie White, 'IDMT'
NPI 1780037036 · Independent Duty Medical Technicians · Nellis Afb, NV
Provider details
- NPI number
- 1780037036
- 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
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone: (505) 270-5330
Approximate (ZIP-level) locationGet directions
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Registry dates
- Enumerated
- 2016-07-21
- Last updated
- 2016-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.