Individual provider · Type 1 NPI
Alonzo Jamelle Shields, IDC
Independent Duty Corpsman · Twentynine Palms, CA
Practice location
Regimental Aid Station, 7th Marine Hq Ras
Twentynine Palms, CA 92278
Mailing address
Box 788-260, 2nd Marine Regiment Station
Twentynine Palms, CA 92278-8266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | 7244689 (AL) |
Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…
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About NPI 1013267996
Alonzo Jamelle Shields, IDC's National Provider Identifier is 1013267996, issued on Sep 18, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Twentynine Palms, CA. The record was last updated on Sep 18, 2012.