SPENCER COREY SOUTHERLAND

JBPHH, HI
NPI1922359702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2012-09-20
Last Update Date2025-04-03
Business Address
SPENCER COREY SOUTHERLAND IDC
480 CENTRAL AVE
JBPHH, HI 96860-4908
Phone number: 808-869-2600
Mailing Address
SPENCER COREY SOUTHERLAND IDC
SEAL TEAM 2 UNIT 60003
FPO, AE 09501-4633
Phone number:
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