Individual provider · Type 1 NPI

Anthony Clark

Independent Duty Corpsman · San Diego, CA

NPI number 1902211634 Active

Practice location

2424 Rendova Rd
San Diego, CA 92155-5041

Call (619) 537-3941 Map

Mailing address

2931 Gabrielson Ave
San Diego, CA 92111-5814

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 1902211634

Anthony Clark's National Provider Identifier is 1902211634, issued on Jun 20, 2014. 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 Jun 24, 2014.