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Individual

TIMOTHY MCDEVITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1380 LUSITANA ST, SUITE 708, HONOLULU, HI 96813-2449
(808) 599-4755
(808) 599-5397
Mailing address
1380 LUSITANA ST, SUITE 708, HONOLULU, HI 96813-2449
(808) 599-4755
(808) 599-5397

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7864
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07250001
HI
01
E94267
HMSA
HI
Enumeration date
01/10/2006
Last updated
07/01/2015
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