Alexander Michael Gwynne, DO
General Practice in Tripler Amc, HI. Individual provider (NPI-1).
NPI number1578065652
StatusActive
Last updated in NPPESSep 12, 2022
Details
- NPI
- 1578065652
- Entity type
- Individual (NPI-1)
- Name
- Alexander Michael Gwynne
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2018
- Certification date
- Sep 12, 2022
- Last updated
- Sep 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | DOS-2060 | HI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1 Jarrett White RdTripler Amc, HI 96859-5001
Phone 215-360-8347
Mailing address
3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Phone 210-228-6076
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All 26 General Practice Physician providers in Tripler Amc · All 589 providers in Tripler Amc
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