Individual provider · Type 1 NPI
Spencer Corey Southerland, IDC
Independent Duty Corpsman · Jbphh, HI
Practice location
480 Central Ave
Jbphh, HI 96860-4908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None 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 1922359702
Spencer Corey Southerland, IDC's National Provider Identifier is 1922359702, issued on Sep 20, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Jbphh, HI. The record was last updated on Aug 21, 2026.