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Individual

DR. JASON MITSUKI ISA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., MSPH

Contact information

Practice address
321 N KUAKINI ST, SUITE 306, HONOLULU, HI 96817-2364
(808) 545-1557
(808) 545-5743
Mailing address
321 N KUAKINI ST, SUITE 306, HONOLULU, HI 96817-2364
(808) 545-1557
(808) 545-5743

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13815
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
582363-01
HI
Enumeration date
07/01/2006
Last updated
02/05/2008
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