Individual provider · Type 1 NPI

Raymond Louis Johnson, IDC

Independent Duty Corpsman · Ingleside, TX

NPI number 1871787614 Active

Practice location

327 Coral Sea Rd, Suite 165
Ingleside, TX 78362-5055

Fax (361) 776-1103

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 1871787614

Raymond Louis Johnson, IDC's National Provider Identifier is 1871787614, issued on Sep 5, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Ingleside, TX. The record was last updated on Sep 5, 2007.