Individual
RUSSELL GARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 984-7434
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 984-7434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD11643
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118143
UHA
HI
01
—
229989
HMSA - 65CP - HMSA QUEST
HI
01
—
50195901
ALOHA CARE QUEST
HI
05
—
50195901
—
HI
01
—
99017685996793B029
TRICARE - CHAMPUS
HI
Enumeration date
07/13/2006
Last updated
07/09/2007
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