Search › Virginia › Independent Duty Corpsman
Tyler Johnson, IDC
NPI 1679846281 · on the registry since 2012 · sole proprietor
Practice
- Address
- 342 Dover Ct
Virginia Beach, VA 23454 - Phone
- (415) 672-2782
Registry record
- Primary taxonomy
- Independent Duty Corpsman
1710I1002X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-13
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 Virginia