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Individual

DR. DOUGLAS JEROME WAFFEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS, TRIPLER AMC, HI 96859-5001
(808) 433-2460
(808) 433-1558

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01080608A
IN
207P00000X
Emergency Medicine Physician
Primary
11266
HI

Other

Enumeration date
11/15/2005
Last updated
08/31/2022
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