Eric Windsor Larson, SUBMARINE IDC Valid NPI
Individual provider · Independent Duty Corpsman · Kings Bay, GA
- NPI
- 1578592838
- 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
- Yes
- Enumerated
- 2006-06-30
- Last updated
- 2008-09-19
Practice location
580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay
Kings Bay, GA 31547
(912) 573-2939