IndividualActive
Cory Newby, IDMT
NPI 1821450123 · Independent Duty Medical Technicians · Moody Afb, GA
Provider details
- NPI number
- 1821450123
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Mailing address
224 W D. L. Ingram Avenue
Cannon Afb, NM 88103
Registry dates
- Enumerated
- 2016-03-25
- Last updated
- 2025-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.