Individual provider · Type 1 NPI
Michael Dale Richardson
Independent Duty Corpsman · Bridgeport, CA
Practice location
HC-83 Bldg 3005, Naval Hospital Branch Clinic Mcmwtc
Bridgeport, CA 93517-0001
Mailing address
204 Vittori Ct
Coleville, CA 96107-9403
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 1477594646
Michael Dale Richardson's National Provider Identifier is 1477594646, issued on Jun 9, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Bridgeport, CA. The record was last updated on Jul 13, 2026.