Individual
DR. JON BETWEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 WAIEHU BEACH RD, SUITE215, WAILUKU, HI 96793-1472
(808) 244-1003
(808) 244-3555
Mailing address
270 WAIEHU BEACH RD, SUITE215, WAILUKU, HI 96793-1472
(808) 244-1003
(808) 244-3555
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1790
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355730
—
HI
01
—
1790
MEDICAL LICENSE
HI
Enumeration date
11/01/2006
Last updated
07/09/2007
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