Individual provider · Type 1 NPI
Michael Thomas Short
Independent Duty Corpsman · San Diego, CA
Practice location
15034 Avenida Montuosa, Apt B
San Diego, CA 92129-1442
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 1184046815
Michael Thomas Short's National Provider Identifier is 1184046815, issued on Jan 15, 2014. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on Jan 15, 2014.