Individual provider · Type 1 NPI

Paul Ricky Ena, IDC

Independent Duty Corpsman · Camp Pendleton, CA

NPI number 1649447244 Active

Practice location

Bldg 13129, 14 Th St
Camp Pendleton, CA 92055

Mailing address

Nhcp Bldg H-100 Santa Margarita Rd
Camp Pendleton, CA 92055

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 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 1649447244

Paul Ricky Ena, IDC's National Provider Identifier is 1649447244, issued on May 13, 2008. 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 Aug 30, 2013.