Individual provider · Type 1 NPI

John Charles Averell, IDC

Independent Duty Corpsman · Apo, AP

NPI number 1255589784 Active

Practice location

Naval Medical Center San Diego, Bldg 14
Apo, AP 92134

Mailing address

1298 Fools Gold Way #2
Chula Vista, CA 91913

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 1255589784

John Charles Averell, IDC's National Provider Identifier is 1255589784, issued on Sep 9, 2008. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Apo, AP. The record was last updated on Sep 9, 2008.