Mr. Randall Frederick Dierking JR., IDC - Groton, CT

Mr. Randall Frederick Dierking JR., IDC

Independent Duty Corpsman in Groton, Connecticut

NPI 1790752111

Randall Frederick Dierking JR. is a Independent Duty Corpsman based in Groton, CT and is specialized in Independent Duty Corpsman. Randall Frederick Dierking JR. practices in Groton, CT and has the professional credentials of IDC. The NPI Number for Randall Frederick Dierking JR. is 1790752111 and holds a License No. (Connecticut).

The current practice location address for Randall Frederick Dierking JR. is 1 Wahoo Ave, Groton, CT and can be reached out via phone at 860-449-4247.

Location: 1 Wahoo Ave, Groton, CT, 06340-3321

NPI Number

1790752111

Provider Name

Randall Frederick Dierking JR.

Credential

IDC

Provider Entity Type

Individual

Gender

Male

Address

1 Wahoo Ave, Groton, CT, 06340-3321

Phone Number

860-449-4247

Fax Number

Provider Enumeration Date

03/03/2006

Last Update Date

03/08/2024

Address

1 Wahoo Ave

City

Groton

State

Connecticut

Zip

06340-2324

Phone Number

860-449-4247

Fax Number

Address

1 Wahoo Ave

City

Groton

State

Connecticut

Zip

06340-2324

Phone Number

860-449-4247

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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