Individual
GORDON J TROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
354 ULUNIU STREET, SUITE 410, KAILUA, HI 96734-2534
(808) 263-9488
(808) 262-5479
Mailing address
354 ULUNIU STREET, SUITE 410, KAILUA, HI 96734-2534
(808) 263-9488
(808) 262-5479
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2980
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000041319
HMSA
HI
01
—
0000041319
HMSA
—
01
—
00B0041315
HMSA
HI
05
—
03754201
—
HI
05
—
03754202
—
HI
Enumeration date
03/28/2006
Last updated
08/10/2013
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