Individual provider · Type 1 NPI

Earl Jason Wagner, SUBMARINE IDC

Independent Duty Corpsman · Fpo, AE

NPI number 1770749541 Active

Practice location

Uss Pittsburgh SSN-720
Fpo, AE 09582-2400

Call (860) 694-3618 Map

Mailing address

79 Hickory Dr
Groton, CT 06340-2910

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 1770749541

Earl Jason Wagner, SUBMARINE IDC's National Provider Identifier is 1770749541, issued on Jul 31, 2008. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AE. The record was last updated on Jul 31, 2008.