Individual provider · Type 1 NPI
Andrew Lee Blalock, IDC
Independent Duty Corpsman · Niantic, CT
Practice location
97 W Main St, Apt 47
Niantic, CT 06357-1749
Mailing address
97 West Main St, Apt 47
Niantic, CT 06357-1731
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…
About NPI 1447557657
Andrew Lee Blalock, IDC's National Provider Identifier is 1447557657, issued on Feb 24, 2011. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Niantic, CT. The record was last updated on Feb 24, 2011.