Russell Jennings Rider, IDC - Groton, CT

Russell Jennings Rider, IDC

Independent Duty Corpsman in Groton, Connecticut

NPI 1609416189

Russell Jennings Rider is a Independent Duty Corpsman based in Groton, CT and is specialized in Independent Duty Corpsman. Russell Jennings Rider practices in Groton, CT and has the professional credentials of IDC. The NPI Number for Russell Jennings Rider is 1609416189 and holds a License No. (Connecticut).

The current practice location address for Russell Jennings Rider is 159 Trout Ave, Groton, CT and can be reached out via phone at 860-694-6464.

Location: 159 Trout Ave, Groton, CT, 06340-3157

NPI Number

1609416189

Provider Name

Russell Jennings Rider

Credential

IDC

Provider Entity Type

Individual

Gender

Male

Address

159 Trout Ave, Groton, CT, 06340-3157

Phone Number

860-694-6464

Fax Number

Provider Enumeration Date

01/13/2020

Last Update Date

03/10/2024

Address

159 Trout Ave

City

Groton

State

Connecticut

Zip

06340

Phone Number

860-694-6464

Fax Number

Address

159 Trout Ave

City

Groton

State

Connecticut

Zip

06340

Phone Number

860-694-6464

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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