Individual provider · Type 1 NPI

Mark Novak, SOIDC

Independent Duty Corpsman · Camp Pendleton, CA

NPI number 1922698679 Active

Practice location

1st Recon Bn Bas Bldg 4101 41 Area
Camp Pendleton, CA 92055

Mailing address

PO Box 555584
Camp Pendleton, CA 92055-5584

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 1922698679

Mark Novak, SOIDC's National Provider Identifier is 1922698679, issued on Jan 26, 2021. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Pendleton, CA. The record was last updated on Jan 26, 2021.