Individual
NATHAN P TOMITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
75-170 HUALALAI RD STE D216A, KAILUA KONA, HI 96740-1779
(808) 313-8338
(808) 313-8339
Mailing address
75-170 HUALALAI RD STE D216A, KAILUA KONA, HI 96740-1779
(808) 313-8338
(808) 313-8339
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101013860
MI
208600000X
Surgery Physician
Primary
DOS1441
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0257801385
BCBSM
MI
05
—
114583911
—
MI
Enumeration date
11/07/2005
Last updated
11/19/2024
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