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Individual

DR. JASON M ANDRUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
221 MAHALANI STREET, WAILUKU, HI 96793-2526
(808) 244-9056
Mailing address
221 MAHALANI STREET, BEHAVIORAL HEALTH SERVICES, WAILUKU, HI 96793-2526
(808) 442-5473
(808) 242-2488

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
220851
MA
2084P0804X
Child & Adolescent Psychiatry Physician
220851
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
50055505
HI
Enumeration date
11/08/2006
Last updated
11/05/2009
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