Individual provider · Type 1 NPI

Jared Bruce Wollaber

Independent Duty Corpsman · San Diego, CA

NPI number 1699537092 Active

Practice location

14 Farenholt Ave
San Diego, CA 92134-0001

Call (619) 399-6609 Map

Mailing address

846 Spinnaker Point Ter
San Diego, CA 92154-5836

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 1699537092

Jared Bruce Wollaber's National Provider Identifier is 1699537092, issued on Jan 30, 2024. 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 Jan 30, 2024.