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Ivan Vicente

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NPI Number Detailed Information

Provider Information:

Name: Ivan Vicente
Gender: M
Provider License Number If Given:

NPI Information:

NPI: 1710201553
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 3/23/2010

Last Update Date: 3/23/2010

Provider Business Mailing Address:

Address: 433 BLACK ELK CT
Ellsworth Afb, SD 57706
Phone Number: 6055213502
Fax Number:

Provider Business Practice Location Address:

Address: 433 BLACK ELK CT
Ellsworth Afb, SD 57706
Phone Number: 6055213502
Fax Number:

Provider Taxonomy:

Primary: 1710I1003X
Secondary (if any):
State: SD

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About Ivan Vicente

Ivan Vicente ( IVAN VICENTE ) is An Military Health Care Provider Physician in Ellsworth Afb, SD. The NPI Number for Ivan Vicente is 1710201553.
The current location address for Ivan Vicente is 433 BLACK ELK CT Ellsworth Afb, SD 57706 and the contact number is 6055213502 and fax number is . The mailing address for Ivan Vicente is 433 BLACK ELK CT Ellsworth Afb, SD 57706- 6055213502 (mailing address contact number - 6055213502).
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

Provider Business Location on Map

FAQs:

What is the NPI Number for Ivan Vicente ?


Answer: The NPI Number for Ivan Vicente is 1710201553

Where is Ivan Vicente located?


Answer: Ivan Vicente is located at 433 BLACK ELK CT Ellsworth Afb, SD 57706.

What is the specialty for Ivan Vicente ?


Answer: The Specialty of Ivan Vicente is An Military Health Care Provider Physician.

Are there any online reviews for Ivan Vicente ?


Answer: Not yet!

Are there any other health care providers in Ellsworth Afb, SD?


Answer: Yes, there are given below...

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Address: 2450 RISNER DR ELLSWORTH AIR FORCE BASE Ellsworth Afb, SD 57706 , Phone: 6053852349
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Address: 2900 DOOLITTLE DR Ellsworth Afb, SD 57706 , Phone: 6053853134
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Address: 2900 DOOLITTLE DR Ellsworth Afb, SD 57706 , Phone: 6053853466
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