NPI 1760821649

Phouthasone Padavong

Practitioner Podiatric Assistant Tripler Army Medical Center, HI

Practice location

Address: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001
Phone: (808) 433-4777

Registered specialties

Podiatric Assistant Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 211D00000X

Other Assistant, Podiatric providers in Hawaii →

Registry record

NPI: 1760821649
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2013
Record last updated: 24 Jun 2013

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.