Individual
MR. STEPHEN ROBERT WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOIDC
Contact information
Practice address
2001 VICTOR WARF ACCESS RD, PEARL CITY, HI 96782-3356
(808) 474-2513
Mailing address
2001 VICTOR WARF ACCESS ROAD, PEARL CITY, HI 96782
(808) 474-2513
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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