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Individual

CODY A. SHISHIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
AMD-1092
HI
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
09/02/2021
Last updated
12/08/2021
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