Franklin Miranda, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · Edwards, CA
NPI 1922409655 · NPPES record last updated Nov 25, 2014
Key facts
- NPI
- 1922409655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 55 N Wolfe Ave
Edwards, CA 93524-6201 - Phone
- (661) 277-1130
- NPI assigned
- Sep 12, 2014
- Sex
- Male
- 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
55 N Wolfe Ave
Edwards, CA 93524-6201
Mailing address
2900 Doolittle Dr
Ellsworth Afb, SD 57706-4821
Phone (605) 385-3001
Other providers in Edwards, CA
- Adrian Vidal Flores Lopez
- Dyann Hanes
- Shelina Hardwick-Moses
- Pang Ko
- Phillip Lopiccolo
- Cheyenne E Monroe-Backus
- David George Morrison Jr.
- Tracy Adell Neal-Walden
- Rebecca Michelle Orr
- Austin Puente
All providers in Edwards, CA · Independent Duty Medical Technicians in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2014. 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.