Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN WILSON, IDMT
ActiveIndependent Duty Medical Technician · HOLLOMAN AFB, NM
Registration Details
- NPI Number
- 1720401789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2014 (12.293019625475 yrs)
- Last Updated
- Mar 29, 2024
Practice Information
- Address
-
280 DAVID L GOLDFEIN ST BLDG 23HOLLOMAN AFB, NM, 883308273Browse NM providers · Browse ZIP 88330
- Phone
- 7074245107
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in HOLLOMAN AFB, NM
| Name | Credential | NPI |
|---|---|---|
| JODI CLARY | IDMT | 1376778407 |
| MERLIN JEWELL | IDMT | 1689064875 |
| JOE CALVIN DURHAM II | IDMT | 1528539756 |
| BRIANNA HOPE SLAYBACK | — | 1083264550 |
| SEBASTIAN ALEJANDRO CRUZ | — | 1821617499 |
| NOAH JOHNSON | IDMT | 1750907465 |
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.