NPI 1538551031

Alfredo Menchaca

Practitioner Independent Duty Corpsman Gary, IN

Practice location

Address: 5601 W 5th Ave, Gary, IN 46406-1405
Phone: (608) 387-6082

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Indiana →

Registry record

NPI: 1538551031
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2015
Record last updated: 20 Feb 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.