Mr. Randall Frederick Dierking Jr., IDC
Mr. Randall Frederick Dierking Jr., IDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1 Wahoo Ave Undersea MedicineGroton, CT 06340-2324
Phone: (860) 449-4247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1790752111 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | March 3, 2006 |
| Last updated in NPPES | May 3, 2010 |
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