Individual
MR. EDUARDO LINARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1550 TOMCAT BLVD STE 150, BRANCH HEALTH CLINIC - NAVAL AIR STATION OCEANA, VIRGINIA BEACH, VA 23460-2186
(757) 953-3933
Mailing address
1550 TOMCAT BLVD STE 150, BRANCH HEALTH CLINIC - NAVAL AIR STATION OCEANA, VIRGINIA BEACH, VA 23460-2186
(757) 953-3933
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407022544
NAVY PROVIDER
—
Enumeration date
05/07/2008
Last updated
03/17/2014
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