Individual
DR. ERIC MOWATT-LARSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
977 PACIFIC ST STE B, MONTEREY, CA 93940-4400
(831) 646-8346
(831) 646-8346
Mailing address
977 PACIFIC ST STE B, MONTEREY, CA 93940-4400
(831) 646-8346
(831) 646-8346
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
C55209
CA
207P00000X
Emergency Medicine Physician
0101230922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235963
BLUE SHIELD
VA
05
—
5861047
—
VA
05
—
5910835
—
NC
01
—
930107776
RAILROAD MEDICARE
VA
Enumeration date
06/18/2006
Last updated
02/24/2021
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