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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC LANDRY PROVO

Active

ERIC LANDRY PROVO is a Independent Duty Corpsman healthcare provider located in NORFOLK, Virginia. NPI 1407815392 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · NORFOLK, VA

Registration Details

NPI Number
1407815392
Provider Type
Individual
Gender
Male
NPI Issued
Mar 21, 2006 (20.396081028451 yrs)
Last Updated
Oct 14, 2009

Practice Information

Address
8857 1ST ST STE 400
NORFOLK, VA, 235113713
Browse VA providers · Browse ZIP 23511
Phone
7574457256
Fax
7575764161
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in NORFOLK, VA

Name Credential NPI
JOHN WALLACE SR. IDC 1316926066
MR. WALTER MERRILLE MCCORKILL IDC USN 1710959010
MR. FRANKLIN JAY JENSEN JR. IDC 1366415614
MR. NELSONCRIS CAPARAS DELACRUZ I.D.C. 1730156134
MR. EDWARD ROBIN SPEARMAN 1639146632
MR. RICARDO GARZA I.D.C. 1427025485
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.