Individual provider · Type 1 NPI

Peter Moreno Iv, SOIDC

Independent Duty Corpsman · Camp Lejeune, NC

NPI number 1043595861 Active

Practice location

Psc Box 20183, 2D Marine Special Operations Battalion
Camp Lejeune, NC 28542-0116

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone 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 1043595861

Peter Moreno Iv, SOIDC's National Provider Identifier is 1043595861, issued on Oct 12, 2011. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Lejeune, NC. The record was last updated on Oct 12, 2011.