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Individual

MR. DONALD W TRALLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
3-3420 KUHIO HWY STE B, LIHUE, HI 96766-1098
(808) 256-1380
(808) 246-1381
Mailing address
3639 ILIMA PL, KALAHEO, HI 96741-9153
(808) 332-5862
(808) 332-5862

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
ADA69
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53754001
HI
Enumeration date
03/21/2007
Last updated
07/08/2007
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