NPI 1639300312

Cameron Modisette

Practitioner Independent Duty Medical Technicians Hickam Afb, HI

Practice location

Address: 755 Scott Cir, Hickam Afb, HI 96853-5399
Phone: (808) 448-6203
Fax: (808) 448-6226

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Hawaii →

Registry record

NPI: 1639300312
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2009
Record last updated: 29 Jul 2009

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.