Organization
DOUGLAS R. DAUTERMAN CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY O FLANIGAN (OWNER)
(808) 591-8860
Entity
Organization
Contact information
Practice address
250 WARD AVE STE 100, HONOLULU, HI 96814-4007
(808) 591-8860
(808) 591-8869
Mailing address
250 WARD AVE STE 100, HONOLULU, HI 96814-4007
(808) 591-8860
(808) 591-8869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56567401
—
HI
Enumeration date
08/13/2007
Last updated
04/08/2019
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