Individual
DR. THOMAS W EDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
KONA COMMUNITY HOSPTIAL, 79-1019 HAUKAPILA STREET, KEALAKEKUA, HI 96750-7920
(808) 547-9593
(808) 599-2714
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 851-7423
(510) 879-9120
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G80869
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD 13810
HI
Other
Enumeration date
06/15/2006
Last updated
07/18/2016
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