Individual provider · Type 1 NPI

John Padua

Military Health Care Provider · Jbphh, HI

NPI number 1104493931 Active

Practice location

1253 Makalapa Gate Rd Bldg 1407
Jbphh, HI 96860-4479

Call (808) 204-3545 Map

Mailing address

590 Moffet St Bldg 4077
Jbphh, HI 96853-5168

Specialties and licenses

TaxonomyCodeLicense
Paramedic 146L00000XNone listed
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1104493931

John Padua's National Provider Identifier is 1104493931, issued on Jun 9, 2021. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jbphh, HI. The record was last updated on Jun 9, 2021.