Individual provider · Type 1 NPI

Nathan Eli Wagner, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1295355246 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Call (619) 532-6000 Map

Mailing address

2853 Oro Blanco Cir
Escondido, CA 92027-5257

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XD7208222 (CA)

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 1295355246

Nathan Eli Wagner, IDC's National Provider Identifier is 1295355246, issued on Apr 20, 2020. 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 20, 2020.