Individual
BLANFORD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 242-4210
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 242-4210
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD4556
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02124001
—
HI
01
—
023549
HMSA, HMSA QUEST, 65CP
HI
01
—
761043
UHA
HI
01
—
99017685996793B056
TRICARE CHAMPUS
HI
Enumeration date
08/12/2006
Last updated
07/08/2007
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