IndividualActive
Ryan Davis, IDMT
NPI 1922232909 · Independent Duty Medical Technicians · Scott Afb, IL
Provider details
- NPI number
- 1922232909
- 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
310 W Losey St
Scott Afb, IL 62225-5250
Phone: (618) 256-7804
Approximate (ZIP-level) locationGet directions
Mailing address
310 West Losey
Scott Afb, IL 62225-5250
Registry dates
- Enumerated
- 2009-05-06
- Last updated
- 2009-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.