Patricia Mottram, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · Hill Afb, UT
NPI 1295962207 · NPPES record last updated Jun 17, 2009
Key facts
- NPI
- 1295962207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 7321 Balmer St BLDG 569
Hill Afb, UT 84056-5012 - Phone
- (801) 777-4710
- Fax
- (801) 775-3897
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
7321 Balmer St BLDG 569
Hill Afb, UT 84056-5012
Mailing address
7321 Balmer St BLDG 569
Hill Afb, UT 84056-5012
Phone (801) 777-4710
Other providers in Hill Afb, UT
- Robert Justin Miller
- Brent Alexander Milne
- Shelby Maryann Moderow
- Thomas Glennon Moore
- Paula Morse
- Rhett Hanford Mullins
- Stephanie Mullins
- Melanie Lynn Nelson
- Abigail Nuestro
- Haley O'Connor
All providers in Hill Afb, UT · Independent Duty Medical Technicians in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.