Individual provider · Type 1 NPI

Russell Lee Short, IDC

Independent Duty Corpsman · Wilmington, NC

NPI number 1336355239 Active

Practice location

7513 Brittany Lakes Dr
Wilmington, NC 28411

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 1336355239

Russell Lee Short, IDC's National Provider Identifier is 1336355239, issued on May 15, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Wilmington, NC. The record was last updated on Jul 8, 2007.