Individual provider · Type 1 NPI

Elliott O. Martinez, IDC

Independent Duty Corpsman · Bridgeport, CA

NPI number 1871786335 Active

Practice location

State Road 108 Bldg 3005, Dewert Branch Health Clinic
Bridgeport, CA 93517-7777

Fax (760) 932-1623

Mailing address

S.r. 108 Bldg 3005
Bridgeport, CA 93517

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 1871786335

Elliott O. Martinez, IDC's National Provider Identifier is 1871786335, issued on Aug 19, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Bridgeport, CA. The record was last updated on Oct 23, 2015.