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LOGAN DAVID WILLEFORD SOIDC
NPI 1306663182
Military Health Care Provider - Independent Duty Corpsman in Fpo, AA

Active since September 24, 2024

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Logan David Willeford Soidc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN DAVID WILLEFORD SOIDC (NPI 1306663182) is an individual independent duty corpsman provider in Fpo, AA and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1306663182
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameLOGAN DAVID WILLEFORDCredential: SOIDC
Location AddressPSC BOX 20184Fpo, AA 28542
Mailing AddressPsc Box 20184Fpo, AA 28542 · (910) 440-2494
Phone(910) 440-2494
Sole ProprietorNo
Enumeration DateSeptember 24, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1306663182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
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.
PSC BOX 20184, Fpo, AA 28542
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Willeford's NPI number?

The NPI number for Logan Willeford is 1306663182. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Where is Logan Willeford located?

Logan Willeford practices at Psc Box 20184, Fpo, AA 28542. The listed phone number is (910) 440-2494.

What is Logan Willeford's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Logan Willeford was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.