Individual
DR. BRUCE R. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-5363
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000022160
HMSA BILLING NUMBER
HI
05
—
020052-01
—
HI
Enumeration date
10/23/2006
Last updated
10/19/2007
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