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Individual

MICHAEL DUANE SMALTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
55A SAVO DR, WAHIAWA, HI 96786-3001
(808) 653-5340
Mailing address
55A SAVO DR, WAHIAWA, HI 96786-3001

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
12/12/2007
Last updated
12/12/2007
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