IndividualActive
Dallas Mcwilliams, IDMT
NPI 1912504093 · Independent Duty Medical Technicians · Fairfield, CA
Provider details
- NPI number
- 1912504093
- 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
101 Bodin Cir
Fairfield, CA 94535-1809
Phone: (707) 423-3000
Approximate (ZIP-level) locationGet directions
Mailing address
1229 126th Street Ct E
Tacoma, WA 98445-7100
Registry dates
- Enumerated
- 2020-10-02
- Last updated
- 2022-06-15
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.