Individual
DR. BRENT KOICHI TAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99-080 KAUHALE ST, SUITE C-22, AIEA, HI 96701-4114
(808) 487-1600
(808) 487-1601
Mailing address
99-080 KAUHALE ST, SUITE C-22, AIEA, HI 96701-4114
(808) 487-1600
(808) 487-1601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 14517
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618043
—
HI
Enumeration date
06/26/2007
Last updated
12/30/2013
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