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Organization

MAUI DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MARSHALL KNOX II M.D. (OWNER/PHYSICIAN)
(808) 875-7477
Entity
Organization

Contact information

Practice address
375 HUKU LII PL, SUITE 201, KIHEI, HI 96753-8996
(808) 875-7477
(808) 879-4585
Mailing address
375 HUKU LII PL, SUITE 201, KIHEI, HI 96753-8996
(808) 875-7477
(808) 879-4585

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD-12517
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0247906
HMSA
HI
01
00B0247904
HMSA
HI
Enumeration date
02/22/2007
Last updated
05/14/2015
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