Individual provider · Type 1 NPI
William Kogiro Fullwood, IDC
Independent Duty Corpsman · Fpo, AP
Practice location
Uss Tarawa Lha 1, Medical Department
Fpo, AP 96622 1600
Mailing address
2841 Rendova Rd # CODEN01H
San Diego, CA 92155-5490
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 1225243256
William Kogiro Fullwood, IDC's National Provider Identifier is 1225243256, issued on May 12, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AP. The record was last updated on Jan 23, 2018.