Individual provider · Type 1 NPI

Shelby Daniel Sparks

Independent Duty Corpsman · San Diego, CA

NPI number 1255126355 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Call (619) 532-6400 Map

Mailing address

6423 Reflection Dr Apt 106
San Diego, CA 92124-3131

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 1255126355

Shelby Daniel Sparks's National Provider Identifier is 1255126355, issued on Apr 10, 2025. 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 Apr 10, 2025.