Individual
SHAUNA PAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16-523 KEAAU PAHOA RD, KEAAU, HI 96749-8156
(808) 932-3878
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(808) 932-3830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 17410
HI
207Q00000X
Family Medicine Physician
MD2005-0763
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10333061
—
NM
Enumeration date
10/02/2006
Last updated
08/05/2024
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