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Individual

JEFFREY R MAEHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1441 KAPIOLANI BLVD #1419, HONOLULU, HI 96814
(808) 955-3937
(808) 955-3930
Mailing address
1441 KAPIOLANI BLVD #1419, HONOLULU, HI 96814
(808) 955-3937
(808) 955-3930

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD11924
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
530966
HI
Enumeration date
09/20/2006
Last updated
07/08/2007
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