Individual provider · Type 1 NPI
Rohn Dale Wallace, SUBMARINE IDC
Independent Duty Corpsman · Silverdale, WA
Practice location
Uss Ohio Ssgn 726 Gold
Silverdale, WA 98312
Mailing address
4417 Waterman Ridge Ln E
Port Orchard, WA 98366-8001
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 1467480939
Rohn Dale Wallace, SUBMARINE IDC's National Provider Identifier is 1467480939, issued on Jun 30, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Silverdale, WA. The record was last updated on Jul 8, 2007.