Individual
TETSUTO NUMATA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 HOOHANA ST, SUITE 209, KAHULUI, HI 96732-2467
(808) 871-0778
Mailing address
PO BOX 1091, KIHEI, HI 96753-1091
(808) 871-0778
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11045
HI
Other
Enumeration date
06/15/2006
Last updated
07/09/2007
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