Individual
DR. DOUGLAS WAYNE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1380 LUSITANA ST, SUITE 401, HONOLULU, HI 96813-2449
(808) 531-7541
(808) 531-7542
Mailing address
1380 LUSITANA ST, SUITE 401, HONOLULU, HI 96813-2449
(808) 531-7541
(808) 531-7542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3122
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03988501
—
HI
01
—
C43801-6
HMSA
HI
Enumeration date
11/28/2005
Last updated
09/16/2022
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