Individual
SCOTT OSHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
64-694 KOHALA MTN RD, KAMUELA, HI 96743-0428
(808) 881-4061
Mailing address
PO BOX 551, KAMUELA, HI 96743-0551
(808) 885-4348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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