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Jesse Tyler Stief
Independent Duty Corpsman in San Diego, California
NPI 1841918489

Jesse Tyler Stief is a Independent Duty Corpsman based in Virginia Beach, CA and is specialized in Independent Duty Corpsman. Jesse Tyler Stief practices in San Diego, CA. The NPI Number for Jesse Tyler Stief is 1841918489 and holds a License No. (California).

The current practice location address for Jesse Tyler Stief is 34101 Farenholt Ave, San Diego, CA and can be reached out via phone at 626-691-8587.

Location: 34101 Farenholt Ave, San Diego, CA, 23459-3324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841918489
Provider Name
Jesse Tyler Stief
Credential
Provider Entity Type
Individual
Gender
Male
Address
34101 Farenholt Ave, San Diego, CA, 23459-3324
Phone Number
626-691-8587
Fax Number
Provider Enumeration Date
08/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
34101 Farenholt Ave
City
San Diego
State
California
Zip
92134-7000
Phone Number
626-691-8587
Fax Number
person
Provider Business Mailing Address Details
Address
34101 Farenholt Ave
City
San Diego
State
California
Zip
92134-7000
Phone Number
626-691-8587
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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