Individual
MATTHEW C DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1292 WAIANUENUE AVE, HILO, HI 96720-1228
(808) 934-4000
Mailing address
1292 WAIANUENUE AVE, HILO, HI 96720-1228
(808) 934-4000
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
D12345
CA
207Q00000X
Family Medicine Physician
Primary
DOS 1202
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000280743
HMSA BILLING NUMBER
HI
05
—
626369-02
—
HI
Enumeration date
05/17/2007
Last updated
01/07/2009
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