Evan Lewis Ridenour - Virginia Beach, VA

Evan Lewis Ridenour

Independent Duty Corpsman in Virginia Beach, Virginia

NPI 1477164143

Evan Lewis Ridenour is a Independent Duty Corpsman based in Virginia Beach, VA and is specialized in Independent Duty Corpsman. Evan Lewis Ridenour practices in Virginia Beach, VA. The NPI Number for Evan Lewis Ridenour is 1477164143 and holds a License No. (Virginia).

The current practice location address for Evan Lewis Ridenour is 472 Polaris St Bldg 586, Virginia Beach, VA and can be reached out via phone at 757-862-2745.

Location: 472 Polaris St Bldg 586, Virginia Beach, VA, 23461-1935

NPI Number

1477164143

Provider Name

Evan Lewis Ridenour

Credential

Provider Entity Type

Individual

Gender

Male

Address

472 Polaris St Bldg 586, Virginia Beach, VA, 23461-1935

Phone Number

757-862-2745

Fax Number

Provider Enumeration Date

08/14/2020

Last Update Date

03/10/2024

Address

472 Polaris St Bldg 586

City

Virginia Beach

State

Virginia

Zip

23461-1935

Phone Number

757-862-2745

Fax Number

Address

472 Polaris St Bldg 586

City

Virginia Beach

State

Virginia

Zip

23461-1935

Phone Number

757-862-2745

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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