Individual provider · Type 1 NPI

Zachary Dewitt Wilson, IDC

Independent Duty Corpsman · Camp Pendleton, CA

NPI number 1942721873 Active

Practice location

22 Area Regimental Aid Station, 1st Medical Battalion
Camp Pendleton, CA 92055-5657

Call (760) 725-3784 Map

Mailing address

5552 Genesee Ct E Apt 136
San Diego, CA 92111-3035

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 1942721873

Zachary Dewitt Wilson, IDC's National Provider Identifier is 1942721873, issued on Jun 30, 2017. 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 Jun 30, 2017.