Individual provider · Type 1 NPI

Patrick Joseph Russell Iii

Independent Duty Corpsman · Oceanside, CA

NPI number 1376459347 Active

Practice location

20250 Vandergrift Blvd
Oceanside, CA 92058

Call (760) 725-5799 Map

Mailing address

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

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 1376459347

Patrick Joseph Russell Iii's National Provider Identifier is 1376459347, issued on Aug 20, 2026. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Oceanside, CA. The record was last updated on Aug 20, 2026.