Justin Cory Wallace, DIVE IDC - San Diego, CA

Justin Cory Wallace, DIVEIDC

Independent Duty Corpsman in San Diego, California

NPI 1114354156

Justin Cory Wallace is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Justin Cory Wallace practices in San Diego, CA and has the professional credentials of DIVEIDC. The NPI Number for Justin Cory Wallace is 1114354156 and holds a License No. (California).

The current practice location address for Justin Cory Wallace is 699 14Th St, San Diego, CA and can be reached out via phone at 760-845-8116.

Location: 699 14Th St, San Diego, CA, 92101-7586

NPI Number

1114354156

Provider Name

Justin Cory Wallace

Credential

DIVEIDC

Provider Entity Type

Individual

Gender

Male

Address

699 14Th St, San Diego, CA, 92101-7586

Phone Number

760-845-8116

Fax Number

Provider Enumeration Date

10/06/2013

Last Update Date

03/09/2024

Address

699 14Th St

City

San Diego

State

California

Zip

92101-7586

Phone Number

760-845-8116

Fax Number

Address

699 14Th St

City

San Diego

State

California

Zip

92101-7586

Phone Number

760-845-8116

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

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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