Individual
MR. ALEXANDER CHRISTIAN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
USS SIOUX CITY (LCS 11) (GOLD), 2480 BON HOMMES RICHARD STREET, JACKSONVILLE, FL 32227
(757) 443-7400
Mailing address
PO BOX 280046, JACKSONVILLE, FL 32228-0046
(757) 443-7400
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/13/2012
Last updated
05/13/2020
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