Christopher A Wallace, IDC - San Diego, CA

Christopher A Wallace, IDC

Independent Duty Corpsman in San Diego, California

NPI 1003101775

Christopher A Wallace is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Christopher A Wallace practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Christopher A Wallace is 1003101775 and holds a License No. (California).

The current practice location address for Christopher A Wallace is 34101 Farenholt Ave, San Diego, CA and can be reached out via phone at 619-532-7801.

Location: 34101 Farenholt Ave, San Diego, CA, 92134-5000

NPI Number

1003101775

Provider Name

Christopher A Wallace

Credential

IDC

Provider Entity Type

Individual

Gender

Male

Address

34101 Farenholt Ave, San Diego, CA, 92134-5000

Phone Number

619-532-7801

Fax Number

Provider Enumeration Date

06/10/2011

Last Update Date

03/09/2024

Address

34101 Farenholt Ave

City

San Diego

State

California

Zip

92134-5000

Phone Number

619-532-7801

Fax Number

Address

34101 Farenholt Ave

City

San Diego

State

California

Zip

92134-5000

Phone Number

619-532-7801

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

License No.

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Definition

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 other supporting forces such as contractors and foreign nationals.

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