Mr. Mark Mammoth - Groton, CT

Mr. Mark Mammoth

Independent Duty Corpsman in Groton, Connecticut

NPI 1760668792

Mark Mammoth is a Independent Duty Corpsman based in Groton, CT and is specialized in Independent Duty Corpsman. Mark Mammoth practices in Groton, CT. The NPI Number for Mark Mammoth is 1760668792 and holds a License No. (Connecticut).

The current practice location address for Mark Mammoth is 1 Wahoo Drive, Groton, CT and can be reached out via phone at 860-694-2377 and via fax at 860-694-2590. You can also correspond with Mark Mammoth through the mailing address at 1 WAHOO DRIVE, GROTON, CT - 06349-5600 (mailing address contact number: 860-694-2377).

Location: 1 Wahoo Drive, Groton, CT, 06349-5600

NPI Number

1760668792

Provider Name

Mark Mammoth

Credential

Provider Entity Type

Individual

Gender

Male

Address

1 Wahoo Drive, Groton, CT, 06349-5600

Phone Number

860-694-2377

Fax Number

860-694-2590

Provider Enumeration Date

01/22/2008

Last Update Date

03/09/2024

Address

1 Wahoo Drive

City

Groton

State

Connecticut

Zip

06349-5600

Phone Number

860-694-2377

Fax Number

860-694-2590

Address

1 Wahoo Drive

City

Groton

State

Connecticut

Zip

06349-5600

Phone Number

860-694-2377

Fax Number

860-694-2590

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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