SearchConnecticutIndependent Duty Corpsman

Adam Larson, IDC

NPI 1528512175 · on the registry since 2016

Practice

Address
158 Hawthorne Dr
17d
New London, CT 06320
Phone
(920) 562-0770

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2016-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut