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Individual

DR. ANTONIN JAROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 MAUI LANI PKWY STE 100, WAILUKU, HI 96793-2443
(480) 740-2106
Mailing address
105 MAUI LANI PKWY STE 100, WAILUKU, HI 96793-2443
(480) 740-2106

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31852
AZ
207RN0300X
Nephrology Physician
Primary
19943
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
862898-01
AZ
Enumeration date
04/25/2006
Last updated
04/06/2019
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