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Individual

MR. JOSEPH DAVID MATTHEWS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
4711 NEVADA ST, HONOLULU, HI 96818-5071
(808) 744-2510
Mailing address
1430 MORTON ST BLDG 619, PEARL HARBOR, HI 96860-4664
(808) 473-1479

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
04/05/2006
Last updated
10/17/2008
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