Individual
CHARLES GLENN DUNDAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
346 WAIANUENUE AVE, HILO, HI 96720-2447
(808) 319-2939
(808) 935-5095
Mailing address
346 WAIANUENUE AVE, HILO, HI 96720-2447
(808) 319-2939
(808) 935-5095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16511
HI
207Q00000X
Family Medicine Physician
H5763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139971913
—
TX
Enumeration date
08/14/2006
Last updated
10/13/2015
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