Individual provider · Type 1 NPI

Randall Victor Johnson, IDC

Independent Duty Corpsman · Fpo, AA

NPI number 1245480185 Active

Practice location

Uss West Virginia (ssbn 736) (blue)
Fpo, AA 34093-2123

Fax (912) 573-4534

Mailing address

881 Uss James Madison Rd
Kings Bay, GA 31547-2531

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 1245480185

Randall Victor Johnson, IDC's National Provider Identifier is 1245480185, issued on Sep 29, 2008. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AA. The record was last updated on Sep 29, 2008.