Individual
DR. STEPHEN ANDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75-5751 KUAKINI HWY, SUITE 104, KAILUA KONA, HI 96740-1752
(808) 326-5629
Mailing address
75-5751 KUAKINI HWY 203, KAILUA KONA, HI 96740-1753
(808) 326-5629
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10817
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49141502
—
HI
01
—
A220143
HMSA
HI
Enumeration date
08/30/2006
Last updated
07/10/2015
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