Individual
DR. AMANDA F HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 691-4970
(808) 691-5032
Mailing address
2145 PUUALII PLACE, HONOLULU, HI 96822
(808) 387-0444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-13666
HI
207RS0010X
Sports Medicine (Internal Medicine) Physician
13666
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593724
—
HI
Enumeration date
04/10/2007
Last updated
02/27/2020
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