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Michael Anthony Wallace, IDC
Independent Duty Corpsman in Portsmouth, Virginia
NPI 1427216837

Michael Anthony Wallace is a Independent Duty Corpsman based in Portsmouth, VA and is specialized in Independent Duty Corpsman. Michael Anthony Wallace practices in Portsmouth, VA and has the professional credentials of IDC. The NPI Number for Michael Anthony Wallace is 1427216837 and holds a License No. (Virginia).

The current practice location address for Michael Anthony Wallace is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-6505.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427216837
Provider Name
Michael Anthony Wallace
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
620 John Paul Jones Cir, Portsmouth, VA, 23708-2111
Phone Number
757-953-6505
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-953-6505
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
Portsmouth
State
Virginia
Zip
23708-2111
Phone Number
757-953-6505
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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