# DRT MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104083856
- **Authorized official:** THOMAS W SPHEERIS MD (OWNER)
- **Authorized official phone:** (808) 382-9636

## Contact information

- **Practice address:** 91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
- **Practice address phone:** (808) 678-7000
- **Mailing address:** PO BOX 25490, HONOLULU, HI 96825-0490
- **Mailing address phone:** (808) 536-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10645 | HI | Yes |

## Other

- **Enumeration date:** 05/20/2008
- **Last updated:** 06/10/2008