Individual provider · Type 1 NPI

Gavino Martin Lopez, SOIDC

Independent Duty Corpsman · Camp Pendleton, CA

NPI number 1083237549 Active

Practice location

1st Marine Raider Battalion Medical, 555341
Camp Pendleton, CA 92055-5341

Mailing address

PO Box 555341
Camp Pendleton, CA 92055-5341

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 1083237549

Gavino Martin Lopez, SOIDC's National Provider Identifier is 1083237549, issued on May 19, 2020. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Pendleton, CA. The record was last updated on May 19, 2020.