Individual provider · Type 1 NPI
Jeremy Louis Stover, IDC
Independent Duty Corpsman · Gulfport, MS
Practice location
55101 Marvin Shields Blvd
Gulfport, MS 39501
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 1104006246
Jeremy Louis Stover, IDC's National Provider Identifier is 1104006246, issued on Nov 6, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Gulfport, MS. The record was last updated on Nov 6, 2007.