Individual provider · Type 1 NPI

Alexis Marie Dettrich Felgentrager, DO

Military Health Care Provider · Eglin Afb, FL

NPI number 1700724127 Active

Practice location

307 Boatner Rd
Eglin Afb, FL 32542-1302

Mailing address

833 Tanager Rd
Fort Walton Beach, FL 32547-1229

Specialties and licenses

TaxonomyCodeLicense
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 1700724127

Alexis Marie Dettrich Felgentrager, DO's National Provider Identifier is 1700724127, issued on Mar 24, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Eglin Afb, FL. The record was last updated on May 5, 2026.