Individual provider · Type 1 NPI
Jasper Lelis Santillan Jr., IDC
Independent Duty Corpsman · Groton, CT
Practice location
117 Deerwood Dr
Groton, CT 06340-2546
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 1265145536
Jasper Lelis Santillan Jr., IDC's National Provider Identifier is 1265145536, issued on Jan 3, 2023. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Groton, CT. The record was last updated on Jan 3, 2023.