Individual
MR. DOSS K TANNEHILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
BCO
Contact information
Practice address
752 17TH AVE, HONOLULU, HI 96816-4102
(808) 738-5300
(808) 738-5304
Mailing address
752 17TH AVE, HONOLULU, HI 96816-4102
(808) 738-5300
(808) 738-5304
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
DIO-97
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00614018
ALOHACARE
HI
05
—
061401-02
—
HI
01
—
84875
KAISER AFFILIATED CARE NU
HI
Enumeration date
05/17/2006
Last updated
07/09/2007
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