IndividualActive
Daniel Mayberry, IDC
NPI 1760718092 · Independent Duty Corpsman · M C B H Kaneohe Bay, HI
Provider details
- NPI number
- 1760718092
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
3d Mardiv Det
Regimental Aid Station
M C B H Kaneohe Bay, HI 96863
Phone: (808) 343-7780
Approximate (ZIP-level) locationGet directions
Mailing address
3d Mardiv Det
M C B H Kaneohe Bay, HI 96863
Registry dates
- Enumerated
- 2009-10-21
- Last updated
- 2009-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.