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Shayne Tyler Stanley
Independent Duty Corpsman in Port Hueneme, California
NPI 1275007791

Shayne Tyler Stanley is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Shayne Tyler Stanley practices in Port Hueneme, CA. The NPI Number for Shayne Tyler Stanley is 1275007791 and holds a License No. (California).

The current practice location address for Shayne Tyler Stanley is 2600 Dodson St Ste 3, Port Hueneme, CA and can be reached out via phone at 661-794-0954.

Location: 2600 Dodson St Ste 3, Port Hueneme, CA, 92109-5626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275007791
Provider Name
Shayne Tyler Stanley
Credential
Provider Entity Type
Individual
Gender
Male
Address
2600 Dodson St Ste 3, Port Hueneme, CA, 92109-5626
Phone Number
661-794-0954
Fax Number
Provider Enumeration Date
01/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D9195737 01 CA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
2600 Dodson St Ste 3
City
Port Hueneme
State
California
Zip
93043-4432
Phone Number
661-794-0954
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Dodson St Ste 3
City
Port Hueneme
State
California
Zip
93043-4432
Phone Number
661-794-0954
Fax Number
person
Provider's Taxonomy Details 1
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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