Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL C ETHEREDGE II, IDMT
ActiveMR. MICHAEL C ETHEREDGE II, IDMT is a Independent Duty Medical Technician healthcare provider located in LANGLEY AFB, Virginia. NPI 1639729106 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · LANGLEY AFB, VA
Registration Details
- NPI Number
- 1639729106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2019 (6.8675212965009 yrs)
- Last Updated
- Sep 17, 2019
Practice Information
- Address
-
77 NEALY AVELANGLEY AFB, VA, 236652040Browse VA providers · Browse ZIP 23665
- Phone
- 7577646800
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in LANGLEY AFB, VA
| Name | Credential | NPI |
|---|---|---|
| VICTOR DE LEON | IDMT | 1033352117 |
| BRYAN GEORGE PAUL | — | 1114161080 |
| MR. ERIC RICHARD MCCOY | IDMT | 1265676985 |
| MR. EDDIE C WEBB | IDMT | 1225263320 |
| KEIYATA K STYERJAMES | — | 1932334752 |
| ASHLEY BLACKWELL | IDMT | 1336445089 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.