NPI 1093411902
Ryan M Bellack, IDMT
Practice location
- Address
- 755 Scott Cir, Hickam Afb, HI 96853-5399
- Phone
- (808) 430-8898
- Mailing address
- 101 Bodin Cir, Travis Afb, CA 94535-1809
Registered specialties
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1093411902
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Feb 2023
- Record last updated
- 27 Jan 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.