Individual provider · Type 1 NPI
George Conrad Fastenau, NAVY IDC
Independent Duty Corpsman · Camp Lejeune, NC
Practice location
2nd Ceb Bas 2D Mardiv II Mef
Camp Lejeune, NC 28542
Mailing address
5179 Colorado Ave
Camp Lejeune, NC 28547-1126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None 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 1386851574
George Conrad Fastenau, NAVY IDC's National Provider Identifier is 1386851574, issued on May 17, 2007. 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 Jul 8, 2007.