Individual
PATTI K.M. ENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1830 WELLS ST 102, WAILUKU, HI 96793-2365
(808) 877-3635
(808) 877-4363
Mailing address
1830 WELLS ST, STE 102, WAILUKU, HI 96793-2365
(808) 877-3635
(808) 877-4363
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD 9088
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07506301
—
HI
01
—
B202107
BCBS
HI
Enumeration date
09/13/2006
Last updated
10/28/2015
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