Eric William Staley, NAVY IDC Valid NPI
Individual provider · Independent Duty Corpsman · Norfolk, VA
- NPI
- 1073812095
- Type
- Individual (Type 1)
- Primary specialty
- Independent Duty Corpsman (Military Health Care Provider)
- Specialty group
- Other Service Providers
- Taxonomy code
- 1710I1002X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2011-03-16
- Last updated
- 2011-03-16
Practice location
7958 Blandy Road, Commander Submarine Force Atlantic
Norfolk, VA 23551-2492
(757) 836-1351