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Anatoliy Olexandrovych Gryshchenko, IDHS
Independent Duty Corpsman in Portsmouth, Virginia
NPI 1881358851

Anatoliy Olexandrovych Gryshchenko is a Independent Duty Corpsman based in Apo, VA and is specialized in Independent Duty Corpsman. Anatoliy Olexandrovych Gryshchenko practices in Portsmouth, VA and has the professional credentials of IDHS. The NPI Number for Anatoliy Olexandrovych Gryshchenko is 1881358851 and holds a License No. (Virginia).

The current practice location address for Anatoliy Olexandrovych Gryshchenko is 4000 Coast Guard Blvd, Portsmouth, VA and can be reached out via phone at 757-483-8710.

Location: 4000 Coast Guard Blvd, Portsmouth, VA, 23703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881358851
Provider Name
Anatoliy Olexandrovych Gryshchenko
Credential
IDHS
Provider Entity Type
Individual
Gender
Male
Address
4000 Coast Guard Blvd, Portsmouth, VA, 23703
Phone Number
757-483-8710
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1369535915 01 DC DODID
institution
Provider Business Practice Location Address Details
Address
4000 Coast Guard Blvd
City
Portsmouth
State
Virginia
Zip
23703-2135
Phone Number
757-483-8710
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Coast Guard Blvd
City
Portsmouth
State
Virginia
Zip
23703-2135
Phone Number
757-483-8710
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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