Organization
GORDON C. ONTAI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON C. ONTAI M.D. (PRES.)
(808) 523-9300
Entity
Organization
Contact information
Practice address
1329 LUSITANA ST, SUITE 201, HONOLULU, HI 96813-2429
(808) 523-9300
(808) 523-8834
Mailing address
1329 LUSITANA ST, SUITE 201, HONOLULU, HI 96813-2429
(808) 523-9300
(808) 523-8834
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02790601
—
HI
Enumeration date
04/04/2007
Last updated
09/19/2008
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