NPI Index

ERIC LARSON SR., SUBMARINE IDC

Military Health Care Provider - Independent Duty Corpsman

Active Individual
NPI: 1578592838

Practice Address

580 USS MARIANO G VALLEJO AVE
NSSC MEDICAL KINGS BAY
Kings Bay, GA 31547

Phone: (912) 573-2939

Specialties

Specialty Code Primary License
Military Health Care Provider - Independent Duty Corpsman 1710I1002X Yes -

Frequently Asked Questions

NPI 1578592838 is the National Provider Identifier for ERIC LARSON SR., SUBMARINE IDC, a Military Health Care Provider - Independent Duty Corpsman provider located in Kings Bay, GA. This NPI was enumerated on June 30, 2006.
ERIC LARSON SR., SUBMARINE IDC practices at 580 USS MARIANO G VALLEJO AVE, NSSC MEDICAL KINGS BAY, Kings Bay, GA 31547.

Quick Facts

NPI
1578592838
Type
Individual
Enumerated
Jun 30, 2006
Last Updated
Sep 19, 2008

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