Individual provider · Type 1 NPI
David Andrew Peterson Jr.
Independent Duty Corpsman · Groton, CT
Practice location
Nomi Det Numi Submarine Base Nlon, Building 159
Groton, CT 06349
Fax (860) 694-3874
Mailing address
125 Hickory St
Norwich, CT 06360-4634
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 1639147606
David Andrew Peterson Jr.'s National Provider Identifier is 1639147606, issued on Mar 8, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Groton, CT. The record was last updated on Jul 13, 2026.