Individual provider · Type 1 NPI

Lennard Earl Small Jr., SFIDC

Independent Duty Corpsman · Fpo, AA

NPI number 1497064430 Active

Practice location

Uss John L. Hall (FFG-32), Medical Department
Fpo, AA 34091-1448

Mailing address

Uss John L Hall Ffg 32, Medical
Fpo, AA 34091-1488

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed
Independent Duty Corpsman 1710I1002XNone 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 1497064430

Lennard Earl Small Jr., SFIDC's National Provider Identifier is 1497064430, issued on Sep 24, 2010. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AA. The record was last updated on Jul 21, 2022.