NPI 1215682943

Justin Elan Palm, DO

Practitioner General Practice Physician Apo, AP

Practice location

Address: Misawa Air Base 35th Mdg Flight Building 99, Unit 5024, Apo, AP 96319
Phone: (017) 677-6133
Mailing address: 36th Medical Group Unit 14010 Bldg. 26012 Andersen Afb, Apo, AP 96543

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence DR.0071574 (CO)

Other General Practice providers in Armed Forces Pacific →

Registry record

NPI: 1215682943
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2022
Record last updated: 14 Nov 2025

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.