Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SPENCER COREY SOUTHERLAND, IDC
ActiveSPENCER COREY SOUTHERLAND, IDC is a Military Health Care Provider healthcare provider located in JBPHH, Hawaii. NPI 1922359702 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · JBPHH, HI
Registration Details
- NPI Number
- 1922359702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2012 (13.855640626332 yrs)
- Last Updated
- Apr 3, 2025
Practice Information
- Address
-
480 CENTRAL AVEJBPHH, HI, 968604908Browse HI providers · Browse ZIP 96860
- Phone
- 8088692600
- Primary Specialty
-
Military Health Care Provider
171000000X
Other Military Health Care Provider Providers in JBPHH, HI
| Name | Credential | NPI |
|---|---|---|
| ADAM BERGH | MD | 1912584996 |
| JAMES CALEB ERSANDO | ATP, NRP | 1831765395 |
| MICHAEL FLORES | — | 1245807353 |
| JOHN PADUA | — | 1104493931 |
| MICHAEL LASHAWN HILL | PARAMEDIC, ATP | 1134796881 |
| BRIAN FULTON | — | 1235706870 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.