Individual provider · Type 1 NPI

Rudy J. Lopez, SO-IDC

Independent Duty Corpsman · Fort Bragg, NC

NPI number 1114284809 Active

Practice location

Joint Special Operations Medical Ctr, Usajfkswcs Stop A., 3004 Ardennes St.
Fort Bragg, NC 28310-9610

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNEC HM8403 (NC)

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 1114284809

Rudy J. Lopez, SO-IDC's National Provider Identifier is 1114284809, issued on Apr 18, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fort Bragg, NC. The record was last updated on Apr 18, 2012.