Individual provider · Type 1 NPI

Timothy Loren Moore, IDC

Independent Duty Corpsman · Camp Lejeune, NC

NPI number 1376189191 Active

Practice location

2D Reconnaissance Battalion, 2D Marine Division
Camp Lejeune, NC 28542

Call (727) 251-4068 Map

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 1376189191

Timothy Loren Moore, IDC's National Provider Identifier is 1376189191, issued on Nov 27, 2019. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Lejeune, NC. The record was last updated on Nov 27, 2019.