Individual provider · Type 1 NPI

Tavis Scott Buckingham, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1659587871 Active

Practice location

Uss New Orleans (lpd 18) Fpo Ap 96673-1701, Commanding Officer
San Diego, CA 92123

Call (619) 849-1480 Map

Mailing address

4837 Shields St
San Diego, CA 92124-2930

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 1659587871

Tavis Scott Buckingham, IDC's National Provider Identifier is 1659587871, issued on May 15, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.