MR. Eric Earl Cousin, SURFACE IDC
NPI #1336129659 in Belle Chasse, Louisiana
Provider Information
- NPI Number
- 1336129659
- Entity Type
- Individual
- Name
- MR. Eric Earl Cousin, SURFACE IDC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SURFACE IDC
- Enumeration Date
- Jan 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 123 INTREPID DR
- City
- Belle Chasse
- State
- Louisiana
- ZIP Code
- 70037-1358
- Phone
- (504) 391-3643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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