Individual provider · Type 1 NPI

Mark Mammoth

Independent Duty Corpsman · Groton, CT

NPI number 1760668792 Active

Practice location

1 Wahoo Drive, Naval Branch Health Clinic
Groton, CT 06349-5600

Call (860) 694-2377 Map

Fax (860) 694-2590

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 1760668792

Mark Mammoth's National Provider Identifier is 1760668792, issued on Jan 22, 2008. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Groton, CT. The record was last updated on Jan 22, 2008.