Eric Windsor Larson SR., SUBMARINE IDC

NPI #1578592838 in Kings Bay, Georgia

Provider Information

NPI Number: 1578592838
Entity Type: Individual
Name: Eric Windsor Larson SR., SUBMARINE IDC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: SUBMARINE IDC
Enumeration Date: Jun 30, 2006
Last Updated: Sep 19, 2008

Practice Location

Address: 580 USS MARIANO G VALLEJO AVE
Address 2: NSSC MEDICAL KINGS BAY
City: Kings Bay
State: Georgia
ZIP Code: 31547
Phone: (912) 573-2939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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