Search › Alaska › Independent Duty Corpsman
Jedidiah Johnson, HS1, IDC
NPI 1114000130 · on the registry since 2006
Practice
- Address
- 4688 Homer Spit Rd
Homer, AK 99603 - Phone
- (360) 567-8238
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Also registered as
- Other Technician
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska