Eric Landry Provo - Norfolk, VA

Eric Landry Provo

Independent Duty Corpsman in Norfolk, Virginia

NPI 1407815392

Eric Landry Provo is a Independent Duty Corpsman based in Norfolk, VA and is specialized in Independent Duty Corpsman. Eric Landry Provo practices in Norfolk, VA. The NPI Number for Eric Landry Provo is 1407815392 and holds a License No. (Virginia).

The current practice location address for Eric Landry Provo is 8857 1St St Ste 400, Norfolk, VA and can be reached out via phone at 757-445-7256 and via fax at 757-576-4161.

Location: 8857 1St St Ste 400, Norfolk, VA, 23511-3713

NPI Number

1407815392

Provider Name

Eric Landry Provo

Credential

Provider Entity Type

Individual

Gender

Male

Address

8857 1St St Ste 400, Norfolk, VA, 23511-3713

Phone Number

757-445-7256

Fax Number

757-576-4161

Provider Enumeration Date

03/21/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
1710I1002X	01	VA	INDEPENDENT DUTY CORPSMAN

Address

8857 1St St Ste 400

City

Norfolk

State

Virginia

Zip

23511-3713

Phone Number

757-445-7256

Fax Number

757-576-4161

Address

8857 1St St Ste 400

City

Norfolk

State

Virginia

Zip

23511-3713

Phone Number

757-445-7256

Fax Number

757-576-4161

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

License No.

()

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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