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Individual

DR. WILFRED PATAO PACPACO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1860 ALA MOANA BLVD, UNIT # 600, HONOLULU, HI 96815-1632
(808) 944-2722
(808) 944-2722
Mailing address
1860 ALA MOANA BLVD, UNIT # 600, HONOLULU, HI 96815-1632
(808) 944-2722
(808) 944-2722

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD3318
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039621-05
HI
01
J043453
HMSA
HI
01
MD3318
MD LICENSE
HI
Enumeration date
02/06/2007
Last updated
07/08/2007
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