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Reynaldo L Reyes JR., PHYSICIANASSISTANT
Independent Duty Corpsman in San Diego, California
NPI 1306800644

Reynaldo L Reyes JR. is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Reynaldo L Reyes JR. practices in San Diego, CA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Reynaldo L Reyes JR. is 1306800644 and holds a License No. 58601 (California).

The current practice location address for Reynaldo L Reyes JR. is 35000 Guadalcanal St, San Diego, CA and can be reached out via phone at 619-532-4056.

Location: 35000 Guadalcanal St, San Diego, CA, 92128-2152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306800644
Provider Name
Reynaldo L Reyes JR.
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
35000 Guadalcanal St, San Diego, CA, 92128-2152
Phone Number
619-532-4056
Fax Number
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
35000 Guadalcanal St
City
San Diego
State
California
Zip
92140
Phone Number
619-532-4056
Fax Number
person
Provider Business Mailing Address Details
Address
35000 Guadalcanal St
City
San Diego
State
California
Zip
92140
Phone Number
619-532-4056
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
58601 (California)
Definition
Definition to come...
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