Back to Search

ELLIS EID, IDC

IDC

Independent Duty Corpsman

NPI: 1104544089Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Independent Duty CorpsmanPrimary

Military Health Care Provider — Independent Duty Corpsman

Code: 1710I1002X

Contact & Hours

Via practice · 2 locations total

Address
USS GEORGE WASHINGTON, CVN 73
FPO, AE 09550

Locations (2)

Practice Location

USS GEORGE WASHINGTON, FPO, AE
(757) 534-3448

Practice Location

34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA
(619) 532-7968

Quick Facts

NPI
1104544089
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
2

Are you this provider?

Claim Your Profile