Individual provider · Type 1 NPI
Michael Robert Grohman, IDC
Independent Duty Corpsman · Camp Pendleton, CA
Practice location
41256 Stewart Mesa Rd
Camp Pendleton, CA 92055-5341
Fax (760) 725-5298
Mailing address
PO Box 555341
Camp Pendleton, CA 92055-5341
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 1477766871
Michael Robert Grohman, IDC's National Provider Identifier is 1477766871, issued on May 8, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Pendleton, CA. The record was last updated on Jul 8, 2007.