Individual
DR. BLASE BRENDAN LEE LOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78-6515 MAMALAHOA HWY, HOLUALOA, HI 96725-9733
(808) 324-1124
(808) 324-0072
Mailing address
78-6515 MAMALAHOA HWY, HOLUALOA, HI 96725-9733
(808) 324-1124
(808) 324-0072
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD4248
HI
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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