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Individual

DONALD GREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 697-3300
(808) 697-3155
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 388-9905

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
AMD-1166-0
HI
207P00000X
Emergency Medicine Physician
Primary
AMD-1166-0
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AMD-1166-0
HAWAII STATE LICENSE
HI
Enumeration date
08/24/2022
Last updated
02/14/2023
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