Individual
DOUGLAS K BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
415 DAIRY RD, STE D, KAHULUI, HI 96732-2348
(808) 877-3668
(808) 877-3248
Mailing address
415 DAIRY RD, STE D, KAHULUI, HI 96732-2348
(808) 877-3668
(808) 877-3248
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO-168
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54589001
—
HI
Enumeration date
06/08/2005
Last updated
04/30/2020
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