MR. Tavis Scott Buckingham, IDC is an independent duty corpsman military health care provider in San Diego, CA. The provider is 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. MR. Tavis Scott Buckingham, IDC NPI is 1659587871. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
USS NEW ORLEANS (LPD 18) FPO AP 96673-1701
COMMANDING OFFICER
SAN DIEGO, CA
ZIP 92123
Phone: (619) 849-1480
The enumeration date for this NPI number is 5/15/2007 and was last updated on 7/8/2007.