Randall Dierking, IDC

Individual Active
NPI 1790752111
Independent Duty Corpsman Groton, CT

Randall Dierking, IDC holds NPI 1790752111, with a primary taxonomy of independent duty corpsman and a practice location in Groton, CT. The number was issued on March 3, 2006 and the NPPES record was last updated on May 3, 2010.

This record hasn't been updated in NPPES since 2010. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002X Not listed

Practice location

1 Wahoo Ave
Undersea Medicine
Groton, CT 06340-2324
Phone: (860) 449-4247

Local context

Active NPPES records list 207 providers with independent duty corpsman as the primary taxonomy within 25 miles of this practice location's ZIP code, 204 of them within 10 miles.

The same primary taxonomy is listed by 205 in Connecticut and 3,581 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Randall Frederick Dierking Jr.
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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