Individual provider · Type 1 NPI
Luke Andrew Wagner, SOIDC
Independent Duty Corpsman · Coronado, CA
Practice location
917 3rd St
Coronado, CA 92118-1313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
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 1013589407
Luke Andrew Wagner, SOIDC's National Provider Identifier is 1013589407, issued on Jul 14, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Coronado, CA. The record was last updated on Jul 14, 2021.