Individual
PHILLIP WAIHOLO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 ALA MALAMA, KAUNAKAKAI, HI 96748
(808) 553-5353
(808) 553-4269
Mailing address
5567 POOLA ST, HONOLULU, HI 96821-1561
(808) 373-4809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-6127
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055912-01
—
HI
Enumeration date
11/13/2006
Last updated
07/08/2007
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