person
Luke Andrew Wagner, SOIDC
Independent Duty Corpsman in Coronado, California
NPI 1013589407

Luke Andrew Wagner is a Independent Duty Corpsman based in Coronado, CA and is specialized in Independent Duty Corpsman. Luke Andrew Wagner practices in Coronado, CA and has the professional credentials of SOIDC. The NPI Number for Luke Andrew Wagner is 1013589407 and holds a License No. (California).

The current practice location address for Luke Andrew Wagner is 917 3Rd St, Coronado, CA and can be reached out via phone at 305-793-4777.

Location: 917 3Rd St, Coronado, CA, 92118-1313
person
Provider Profile Details
NPI Number
1013589407
Provider Name
Luke Andrew Wagner
Credential
SOIDC
Provider Entity Type
Individual
Gender
Male
Address
917 3Rd St, Coronado, CA, 92118-1313
Phone Number
305-793-4777
Fax Number
Provider Enumeration Date
07/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
917 3Rd St
City
State
Zip
92118-1313
Phone Number
305-793-4777
Fax Number
person
Provider Business Mailing Address Details
Address
917 3Rd St
City
State
Zip
92118-1313
Phone Number
305-793-4777
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
License No.
()
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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