Individual
MR. DEREK CLARK REEVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
86-260 FARRINGTON HIGHWAY, WAIANAE COAST COMPREHENSIVE HEALTH CENTER ED, WAIANAE, HI 96792-3199
(808) 697-3499
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD 314
HI
Other
Enumeration date
09/22/2008
Last updated
10/08/2015
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