NPI 1174285092

Daniel Calderon, SOATP

Practitioner Military Health Care Provider Jbphh, HI

Practice location

Address: 1253 Makalapa Gate Rd Bldg 1407, Jbphh, HI 96860-4479
Phone: (201) 888-4733
Mailing address: 962 Aliamanu Dr, Honolulu, HI 96818-7089

Registered specialties (2)

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

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Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X Licence E1840660 (TX)

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Registry record

NPI: 1174285092
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2021
Record last updated: 7 Oct 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.