Individual provider · Type 1 NPI

Daniel Calderon, SO-ATP

Military Health Care Provider · Jbphh, HI

NPI number 1174285092 Active

Practice location

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

Call (201) 888-4733 Map

Mailing address

962 Aliamanu Dr
Honolulu, HI 96818-7089

Specialties and licenses

TaxonomyCodeLicense
Basic Emergency Medical Technician 146N00000XE1840660 (TX)
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 1174285092

Daniel Calderon, SO-ATP's National Provider Identifier is 1174285092, issued on Oct 7, 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 Oct 7, 2021.