Individual
JONATHAN BUCHANON PELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 PUNAHOU ST, HONOLULU, HI 96826-1027
(808) 941-4466
(808) 951-3718
Mailing address
PO BOX 8500, LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10148
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000837339A
—
GA
Enumeration date
08/19/2006
Last updated
11/30/2012
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