NPI 1104290519

Carlton Jacob Maughan

Practitioner Independent Duty Corpsman Pearl Harbor, HI

Practice location

Address: Bldg 17 Bishops Point, Pearl Harbor, HI 96860
Phone: (443) 864-8344

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1104290519
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2015
Record last updated: 23 Nov 2015

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.