Organization
DOUGLAS R DAUTERMAN CO INC
Active
Other names
Dauterman Medical
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY O FLANIGAN (VICE PRESIDENT)
(808) 487-3995
Entity
Organization
Contact information
Practice address
99 954 IWAENA ST, AIEA, HI 96701
(808) 487-3995
(808) 487-3996
Mailing address
99 954 IWAENA ST, AIEA, HI 96701
(808) 487-3995
(808) 487-3996
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56567401
—
HI
Enumeration date
08/05/2006
Last updated
08/22/2020
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