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Individual

MR. REGINALD GLENN BUESA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
53 S PUUNENE AVE, KAHULUI, HI 96732-2121
(808) 877-6020
(808) 873-0617
Mailing address
53 S PUUNENE AVE, KAHULUI, HI 96732-2121
(808) 877-6020
(808) 873-0617

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD5066
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01674101
HI
Enumeration date
05/17/2006
Last updated
07/11/2008
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