IndividualActive
Luis Hernandez, IDMT
NPI 1780818229 · Independent Duty Medical Technicians · Whiteman Afb, MO
Provider details
- NPI number
- 1780818229
- 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
331 Sijen Ave
Whiteman Afb, MO 65305-1269
Phone: (660) 687-4310
Approximate (ZIP-level) locationGet directions
Mailing address
331 Sijen Ave
Whiteman Afb, MO 65305-1269
Registry dates
- Enumerated
- 2009-05-13
- Last updated
- 2015-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.