Organization
GORDAN J TROCKMAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON J TROCKMAN MD (OWNER)
(808) 523-9363
Entity
Organization
Contact information
Practice address
970 N KALAHEO AVENUE, SUITE A102, KAILUA, HI 96734
(808) 254-6484
(808) 254-6427
Mailing address
820 MILILANI STREET, SUITE 702A, HONOLULU, HI 96813
(808) 523-9363
(808) 523-9418
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2980
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000041319
HMSA PROVIDER NUMBER
HI
05
—
03754201
—
HI
05
—
03754202
—
HI
Enumeration date
10/03/2006
Last updated
08/22/2020
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