Individual provider · Type 1 NPI

William Lee Fairall, SOIDC

Independent Duty Corpsman · Wilmington, NC

NPI number 1336471374 Active

Practice location

8161 Red Cockaded Ct Apt 103
Wilmington, NC 28411-7186

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 1336471374

William Lee Fairall, SOIDC's National Provider Identifier is 1336471374, issued on Feb 2, 2010. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Wilmington, NC. The record was last updated on Feb 2, 2010.