SPENCER SOUTHERLAND, IDC

Military Health Care Provider

Active Individual
NPI: 1922359702

Practice Address

480 CENTRAL AVE
Jbphh, HI 96860

Phone: (808) 869-2600

Specialties

Specialty Code Primary License
Military Health Care Provider 171000000X Yes -

Frequently Asked Questions

NPI 1922359702 is the National Provider Identifier for SPENCER SOUTHERLAND, IDC, a Military Health Care Provider provider located in Jbphh, HI. This NPI was enumerated on September 20, 2012.
SPENCER SOUTHERLAND, IDC practices at 480 CENTRAL AVE, Jbphh, HI 96860.

Quick Facts

NPI
1922359702
Type
Individual
Enumerated
Sep 20, 2012
Last Updated
Apr 3, 2025

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