Individual provider · Type 1 NPI

Piotor Juchniewicz, IDC

Independent Duty Corpsman · Port Hueneme, CA

NPI number 1144623448 Active

Practice location

162 1st St
Port Hueneme, CA 93043-4316

Mailing address

3168 Salmon St
San Diego, CA 92124-3616

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 1144623448

Piotor Juchniewicz, IDC's National Provider Identifier is 1144623448, issued on Sep 30, 2014. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Port Hueneme, CA. The record was last updated on Sep 30, 2014.