Individual provider · Type 1 NPI

Reginald Granger, IDC

Independent Duty Corpsman · Fpo, AP

NPI number 1780415141 Active

Practice location

Opc 561, Box 15
Fpo, AP 96310-9001

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 1780415141

Reginald Granger, IDC's National Provider Identifier is 1780415141, issued on Aug 8, 2024. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Fpo, AP. The record was last updated on Feb 27, 2025.