Individual
DR. EDWIN M MONTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 PUUHONU WAY, HILO, HI 96720-2067
(808) 935-1956
(808) 935-7657
Mailing address
134 PUUHONU WAY, HILO, HI 96720-2067
(808) 935-1956
(808) 935-7657
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD3526
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04097401
—
HI
01
—
198056
HMA
HI
01
—
A4509-4
HMSA
HI
Enumeration date
08/31/2006
Last updated
07/08/2007
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