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Individual

DAVID M. BACCHUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6050
Mailing address
55 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 243-6050

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60367
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A603670
CA
Enumeration date
11/01/2006
Last updated
05/07/2021
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