Individual
DOUGLAS K TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2828 PAA ST, HONOLULU, HI 96819-4405
(808) 432-5770
Mailing address
2828 PAA ST, HONOLULU, HI 96819-4405
(808) 432-5770
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-4952
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000017053
HMSA BILLING NUMBER
HI
05
—
015883-02
—
HI
Enumeration date
03/06/2007
Last updated
10/19/2007
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