Individual
DR. BERTRAM CLIFFORD PROVIDENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0600
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(808) 433-0600
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD-11256
HI
Other
Enumeration date
10/14/2005
Last updated
05/30/2024
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