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Individual

DR. JOHN DOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
710 IANA ST, KAILUA, HI 96734-3411
(850) 460-5654
Mailing address
23D MEDICAL GROUP, 3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DOS-2279
HI
207Q00000X
Family Medicine Physician
076976
GA
208D00000X
General Practice Physician
076976
GA

Other

Enumeration date
06/01/2015
Last updated
12/19/2022
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