MR. Mark Haley Johnson, IDC is an independent duty corpsman military health care provider in Groton, CT. 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. Mark Haley Johnson, IDC NPI is 1710199666. 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:
NLON MEDICAL DEPARTMENT BLDG 76
NAVAL SUBMARINE BASE
GROTON, CT
ZIP 06340
Phone: (860) 694-2795
Fax: (860) 694-4326
The enumeration date for this NPI number is 5/4/2007 and was last updated on 5/6/2011.