Individual provider · Type 1 NPI

Ronald Bruce Rutherford, IDC

Independent Duty Corpsman · Pearl Harbor, HI

NPI number 1750691291 Active

Practice location

850 Ticonderoga St Ste 110
Pearl Harbor, HI 96860-4460

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 1750691291

Ronald Bruce Rutherford, IDC's National Provider Identifier is 1750691291, issued on Oct 18, 2010. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Pearl Harbor, HI. The record was last updated on Oct 18, 2010.