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Mr. Jerry M Smith JR., IDC
Independent Duty Corpsman in Port Hueneme, California
NPI 1659460590

Jerry M Smith JR. is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Jerry M Smith JR. practices in Port Hueneme, CA and has the professional credentials of IDC. The NPI Number for Jerry M Smith JR. is 1659460590 and holds a License No. (California).

The current practice location address for Jerry M Smith JR. is 4643 Dock Rd, Port Hueneme, CA and can be reached out via phone at 805-982-2411.

Location: 4643 Dock Rd, Port Hueneme, CA, 92124-3642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659460590
Provider Name
Jerry M Smith JR.
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
4643 Dock Rd, Port Hueneme, CA, 92124-3642
Phone Number
805-982-2411
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4643 Dock Rd
City
Port Hueneme
State
California
Zip
93043-4321
Phone Number
805-982-2411
Fax Number
person
Provider Business Mailing Address Details
Address
4643 Dock Rd
City
Port Hueneme
State
California
Zip
93043-4321
Phone Number
805-982-2411
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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