Individual provider · Type 1 NPI
Enrique Villanueva, SOIDC
Independent Duty Corpsman · Camp Pendleton, CA
Practice location
Bldg 210730 C Street
Camp Pendleton, CA 92055-5243
Mailing address
PO Box 555243
Camp Pendleton, CA 92055-5243
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 1508527060
Enrique Villanueva, SOIDC's National Provider Identifier is 1508527060, issued on Jan 6, 2022. 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 Jan 6, 2022.