NPI 1063171064

Jeremy Forrest Gleason

Practitioner Military Health Care Provider Joint Base Pearl Harbor- Hickam, HI

Practice location

Address: 45 Worchester Ave, Joint Base Pearl Harbor- Hickam, HI 96853
Phone: (361) 362-8275
Mailing address: 1778 Ala Moana Blvd APT 2517, Honolulu, HI 96815-1624

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Hawaii →

Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X

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Registry record

NPI: 1063171064
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2021
Record last updated: 17 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.