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Individual

DR. ROBERT DAILEY IRVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
670 PONAHAWAI ST, SUITE 115, HILO, HI 96720-2660
(808) 935-5465
(808) 935-5467
Mailing address
670 PONAHAWAI ST, SUITE 115, HILO, HI 96720-2660
(808) 935-5465
(808) 935-5467

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2284
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000036673
HAWAII MEDICAL SERVICES ASSOCIATION
HI
05
03316401
HI
Enumeration date
07/04/2006
Last updated
09/14/2009
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