Individual provider · Type 1 NPI
Charles Alexander Hall, IDC
Independent Duty Corpsman · Camp Pendleton, CA
Practice location
3D Aabn Battalion Aid Staion, Bldg 210735
Camp Pendleton, CA 92055
Mailing address
34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | 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 1962089649
Charles Alexander Hall, IDC's National Provider Identifier is 1962089649, issued on Mar 27, 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 Nov 11, 2021.