Individual provider · Type 1 NPI

Reynaldo L. Reyes Jr., PHYSICIAN ASSISTANT

Independent Duty Corpsman · San Diego, CA

NPI number 1306800644 Active

Practice location

35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot
San Diego, CA 92140

Call (619) 532-4056 Map

Mailing address

12497 Conquistador Way
San Diego, CA 92128-2152

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X58601 (CA)
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 1306800644

Reynaldo L. Reyes Jr., PHYSICIAN ASSISTANT's National Provider Identifier is 1306800644, issued on Apr 13, 2006. 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 Sep 22, 2022.