Individual provider · Type 1 NPI

Brandon Lane Thiele, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1881277192 Active

Practice location

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

Call (619) 532-7968 Map

Mailing address

10004 Los Ranchitos Rd
Lakeside, CA 92040-2724

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 1881277192

Brandon Lane Thiele, IDC's National Provider Identifier is 1881277192, issued on May 4, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on Dec 3, 2021.