Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 8

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Independent Duty Corpsman Providers

NPI Name Type Address

1023222585

MR. IDC Jason L Coambes

Individual

6292 East 43rd Street

Yuma, AZ

1407062052

William Franklin Crittenden

Individual

3506 W 26th Pl

Yuma, AZ

1801088539

MR. David Anthony Ashworth

Individual

8214 W Voltaire Ave

Peoria, AZ

1467637314

IDC Perfecto B Cronemeyer

Individual

4859 W 29th Ln

Yuma, AZ

1043416001

MISS SFIDC April D. Duncan

Individual

Naval Branch Health Clinic Yuma

Bldg 1175

Yuma, AZ

1003298571

MR. IDC Evan Jonathan Wilson

Individual

2989 East Arow St

Yuma, AZ

1083149579

SFIDC Albert Anthony Urquidez

Individual

6769 W Louise Dr

Glendale, AZ

1548767239

MR. SFIDC Eric Steven Freudenthal

Individual

4776 E Guadalupe Rd Apt 2044

Gilbert, AZ

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1002X
Specialization Independent Duty Corpsman
Display Name Independent Duty Corpsman
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
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.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689