IndividualActive
Michael Triana, IDMT
NPI 1932567286 · Independent Duty Medical Technicians · Ellsworth Afb, SD
Provider details
- NPI number
- 1932567286
- 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
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone: (316) 640-2150
Approximate (ZIP-level) locationGet directions
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Registry dates
- Enumerated
- 2016-02-02
- Last updated
- 2023-08-01
- Certified
- 2023-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.