Individual provider · Type 1 NPI

Byron Pack, IDC

Independent Duty Corpsman · Camp Pendleton, CA

NPI number 1295872232 Active

Practice location

533020 Basoline Rd, Camp Horno
Camp Pendleton, CA 92055-5402

Fax (760) 725-7663

Mailing address

3627 W Thornton Ave
Hemet, CA 92545-9129

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 1295872232

Byron Pack, IDC's National Provider Identifier is 1295872232, issued on Jan 31, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Pendleton, CA. The record was last updated on Jul 8, 2007.