Individual
DR. MARK STITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
334 ILIMALIA LOOP, KAILUA, HI 96734-1851
(808) 254-3838
Mailing address
334 ILIMALIA LOOP, KAILUA, HI 96734-1851
(808) 254-3838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3676
HI
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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