Individual provider · Type 1 NPI
Heath Wade Wallace, IDC
Independent Duty Corpsman · Fpo, AE
Practice location
Uss Theodore Roosevelt Cvn 71, Medical Department
Fpo, AE 09599 2871
Mailing address
1973 Big Boulder Dr
Virginia Beach, VA 23456-6126
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 1558323725
Heath Wade Wallace, IDC's National Provider Identifier is 1558323725, issued on Apr 4, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AE. The record was last updated on Apr 20, 2008.