Provider Demographics
NPI:1760708275
Name:PRESCOTT, ALICIA CATHERINE (DO)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:CATHERINE
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ALICIA
Other - Middle Name:CATHERINE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1 JARRETT WHITE ROAD
Mailing Address - Street 2:DEPARTMENT OF PEDIATRICS
Mailing Address - City:TRIPLER ARMY MEDICAL CENTER
Mailing Address - State:HI
Mailing Address - Zip Code:96859
Mailing Address - Country:US
Mailing Address - Phone:808-433-5723
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE ROAD
Practice Address - Street 2:DEPARTMENT OF PEDIATRICS
Practice Address - City:TRIPLER ARMY MEDICAL CENTER
Practice Address - State:HI
Practice Address - Zip Code:96859
Practice Address - Country:US
Practice Address - Phone:808-433-5723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8772080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine