Individual provider · Type 1 NPI
Brent Thomas Graceffa, IDC
Independent Duty Corpsman · Rockton, IL
Practice location
107 Strawbridge Dr
Rockton, IL 61072-2957
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…
About NPI 1306255641
Brent Thomas Graceffa, IDC's National Provider Identifier is 1306255641, issued on Aug 12, 2014. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Rockton, IL. The record was last updated on Aug 12, 2014.