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Individual

DR. JEFFREY R. TOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
67-1185 MAMALAHOA HWY, KAMUELA, HI 96743-7304
(808) 881-4500
Mailing address
67-1185 MAMALAHOA HWY, KAMUELA, HI 96743-7304
(808) 881-4500

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-13422
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000254938
HMSA BILLING NUMBER
HI
05
572835-03
HI
Enumeration date
09/21/2006
Last updated
10/19/2007
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