Spencer Corey Southerland, IDC
Spencer Corey Southerland, IDC is a Military Health Care Provider in Jbphh, Hawaii. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
480 Central AveJbphh, HI 96860-4908
Phone: (808) 869-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1922359702 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | September 20, 2012 |
| Last updated in NPPES | April 3, 2025 |
| Certification date | April 3, 2025 |
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