Organization
KAILUA DERMATOLOGY CENTERS OF HAWAII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M WILLIAMS PHYSICIAN ASSISTANT (OWNER/PHYSICIAN ASSISTANT)
(808) 263-3233
Entity
Organization
Contact information
Practice address
1051 KEOLU DR STE 107, KAILUA, HI 96734-3800
(808) 263-3233
(808) 263-3220
Mailing address
1051 KEOLU DR STE 107, KAILUA, HI 96734-3800
(808) 263-3233
(808) 263-3220
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
10836
HI
261QM2500X
Medical Specialty Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
Primary
AMD536
HI
Other
Enumeration date
10/25/2007
Last updated
02/14/2018
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