John Wallace SR., IDC - Norfolk, VA

John Wallace SR., IDC

Independent Duty Corpsman in Norfolk, Virginia

NPI 1316926066

John Wallace SR. is a Independent Duty Corpsman based in Suffolk, VA and is specialized in Independent Duty Corpsman. John Wallace SR. practices in Norfolk, VA and has the professional credentials of IDC. The NPI Number for John Wallace SR. is 1316926066 and holds a License No. (Virginia).

The current practice location address for John Wallace SR. is 300 E Main St, Norfolk, VA and can be reached out via phone at 757-628-4347. You can also correspond with John Wallace SR. through the mailing address at 235 JONATHANS WAY, SUFFOLK, VA - 23434-9153 (mailing address contact number: 757-923-3793).

Location: 300 E Main St, Norfolk, VA, 23434-9153

NPI Number

1316926066

Provider Name

John Wallace SR.

Credential

IDC

Provider Entity Type

Individual

Gender

Male

Address

300 E Main St, Norfolk, VA, 23434-9153

Phone Number

757-628-4347

Fax Number

Provider Enumeration Date

01/11/2006

Last Update Date

03/08/2024

Address

300 E Main St

City

Norfolk

State

Virginia

Zip

23510-1753

Phone Number

757-628-4347

Fax Number

Address

235 Jonathans Way

City

Suffolk

State

Virginia

Zip

23434-9153

Phone Number

757-923-3793

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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