Individual
PHILIP V BOHNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95390 KUAHELANI AVE, MILILANI, HI 96789
(808) 627-3200
(808) 623-7872
Mailing address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411
(808) 621-4117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD6895
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05868401
—
HI
01
—
C78000
HMSA
HI
Enumeration date
02/09/2006
Last updated
07/08/2007
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