Eric Landry Provo
Eric Landry Provo is an Independent Duty Corpsman in Norfolk, Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
8857 1st St Ste 400Norfolk, VA 23511-3713
Phone: (757) 445-7256
Fax: (757) 576-4161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1407815392 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2006 |
| Last updated in NPPES | October 14, 2009 |
| Mailing address | 8857 1st St Ste 400, Norfolk, VA 23511-3713 |
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