Individual
DR. STEPHEN M HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 S BERETANIA ST, SUITE 107, HONOLULU, HI 96814-1870
(808) 591-1504
(808) 591-1506
Mailing address
PO BOX 1300, DEPT 60281, HONOLULU, HI 96807-1300
(808) 591-1504
(808) 591-1506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD-4204
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003882
—
HI
01
—
MD4204-02
MDX HAWAII
HI
01
—
XPY187074
MEDI-CAL
CA
Enumeration date
05/19/2006
Last updated
04/01/2014
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