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Individual

MICHAEL DARREN BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1620 ALA MOANA BLVD, SUITE 500, HONOLULU, HI 96815-1457
(808) 955-0255
(808) 955-4155
Mailing address
PO BOX 1300, MAILCODE 61323, HONOLULU, HI 96807-1300
(808) 955-0255
(808) 955-4155

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD10612
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00E0215904
HMSA WAHIAWA LOC PROV#
HI
01
00I0215906
HMSA KONA LOCATION PROV#
HI
01
00K0215901
HMSA HONOLULU PROV#
HI
01
00L0215909
HMSA QUEENS LOC PROV#
HI
05
25205301
HI
05
25205302
HI
05
25205304
HI
Enumeration date
04/14/2006
Last updated
03/20/2020
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