NPI 1265968424
Alec James Carlson, IDC
Practice location
- Address
- 455 Hornet Ave STE 101, Jbphh, HI 96860-3530
- Phone
- (619) 537-4355
- Mailing address
- Uss Typhoon PC 5 Unit 100286 Box 1, Fpo, AE 09588
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1265968424
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 May 2017
- Record last updated
- 31 Aug 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.