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Individual

DR. GALE ROLLAND BEARDSLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1629 WILDER AVE APT 704, HONOLULU, HI 96822-4666
(808) 721-7278
(808) 207-3799
Mailing address
1629 WILDER AVE APT 704, HONOLULU, HI 96822-4666
(808) 721-7278
(808) 207-3799

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G151697
CA
2084P0800X
Psychiatry Physician
MD4083
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04758501
HI
Enumeration date
06/08/2005
Last updated
05/07/2021
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