Individual
DR. RUSSELL M TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA RD, SUITE 350, AIEA, HI 96701-4713
(808) 487-2277
(808) 488-5582
Mailing address
98-1079 MOANALUA RD, SUITE 350, AIEA, HI 96701-4713
(808) 487-2277
(808) 488-5582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8484
HI
Other
Enumeration date
08/04/2006
Last updated
07/10/2012
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