Individual provider · Type 1 NPI
Theodore Harrison Jr., IDC
Independent Duty Corpsman · Suffolk, VA
Practice location
3020 Silver Charm Cir
Suffolk, VA 23435-3343
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 1972791218
Theodore Harrison Jr., IDC's National Provider Identifier is 1972791218, issued on Oct 11, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Suffolk, VA. The record was last updated on Oct 11, 2007.