Individual provider · Type 1 NPI
Tyler Elliot Johnson, IDC
Independent Duty Corpsman · Virginia Beach, VA
Practice location
342 Dover Ct
Virginia Beach, VA 23454-4253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | B8829445 (CA) |
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 1679846281
Tyler Elliot Johnson, IDC's National Provider Identifier is 1679846281, issued on Feb 13, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Virginia Beach, VA. The record was last updated on Feb 13, 2012.