Individual
FRANK HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 242-4209
Mailing address
2180 MAIN STREET, WAILUKU, HI 96793
(808) 242-6464
(808) 242-4209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD2
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232405
HMSA - 65CP
HI
05
—
232405
—
HI
05
—
55828103
—
HI
01
—
99017685996793B098
TRICARE - CHAMPUS
HI
Enumeration date
07/21/2006
Last updated
04/07/2008
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