Glenn Wilson, IDMT
NPI #1720401789 in Holloman Afb, New Mexico
Provider Information
- NPI Number
- 1720401789
- Entity Type
- Individual
- Name
- Glenn Wilson, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Jan 28, 2014
- Last Updated
- Mar 29, 2024
Practice Location
- Address
- 280 DAVID L GOLDFEIN ST BLDG 23
- City
- Holloman Afb
- State
- New Mexico
- ZIP Code
- 88330-8273
- Phone
- (707) 424-5107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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