Jared Formulak - San Diego, CA

Jared Formulak

Independent Duty Corpsman in San Diego, California

NPI 1720830946

Jared Formulak is a Independent Duty Corpsman based in San Diego, CA and is specialized in Independent Duty Corpsman. Jared Formulak practices in San Diego, CA. The NPI Number for Jared Formulak is 1720830946 and holds a License No. (California).

The current practice location address for Jared Formulak is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 304-261-8914.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-1098

NPI Number

1720830946

Provider Name

Jared Formulak

Credential

Provider Entity Type

Individual

Gender

Male

Address

34800 Bob Wilson Dr, San Diego, CA, 92134-1098

Phone Number

304-261-8914

Fax Number

Provider Enumeration Date

04/02/2024

Last Update Date

04/14/2024

Address

34800 Bob Wilson Dr

City

San Diego

State

California

Zip

92134-1098

Phone Number

304-261-8914

Fax Number

Address

34800 Bob Wilson Dr

City

San Diego

State

California

Zip

92134-1098

Phone Number

304-261-8914

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

License No.

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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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