Individual
DR. PETER A. IN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65-1206 MAMALAHOA HWY, #3-108, KAMUELA, HI 96743-7302
(808) 885-7444
(808) 885-0716
Mailing address
65-1206 MAMALAHOA HWY, #3-108, KAMUELA, HI 96743-7302
(808) 885-7444
(808) 885-0716
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-2319
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03519901
—
HI
Enumeration date
01/03/2006
Last updated
04/30/2014
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