Ernest Clarence Koani Smith JR., (IDC) - San Diego, CA

Ernest Clarence Koani Smith JR., (IDC)

Independent Duty Corpsman in San Diego, California

NPI 1275308025

Ernest Clarence Koani Smith JR. is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Ernest Clarence Koani Smith JR. practices in San Diego, CA and has the professional credentials of (IDC). The NPI Number for Ernest Clarence Koani Smith JR. is 1275308025 and holds a License No. (California).

The current practice location address for Ernest Clarence Koani Smith JR. is 34101 Farenholt Ave Bldg 14, San Diego, CA and can be reached out via phone at 808-492-7003.

Location: 34101 Farenholt Ave Bldg 14, San Diego, CA, 92134-4856

NPI Number

1275308025

Provider Name

Ernest Clarence Koani Smith JR.

Credential

(IDC)

Provider Entity Type

Individual

Gender

Male

Address

34101 Farenholt Ave Bldg 14, San Diego, CA, 92134-4856

Phone Number

808-492-7003

Fax Number

Provider Enumeration Date

11/21/2023

Last Update Date

03/10/2024

Address

34101 Farenholt Ave Bldg 14

City

San Diego

State

California

Zip

92134-4856

Phone Number

808-492-7003

Fax Number

Address

34101 Farenholt Ave Bldg 14

City

San Diego

State

California

Zip

92134-4856

Phone Number

808-492-7003

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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