Individual
SCOTT JOHN MISCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46-001 KAMEHAMEHA HWY STE 109, KANEOHE, HI 96744-3724
(808) 247-7596
Mailing address
46-001 KAMEHAMEHA HWY STE 109, KANEOHE, HI 96744-3724
(808) 247-7596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 6854
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05672605
—
HI
01
—
65197
HMSA
HI
Enumeration date
01/04/2007
Last updated
09/06/2024
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