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Individual

DR. THOMAS GORDON CRABTREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
970 N KALAHEO AVE, SUITE C-108, KAILUA, HI 96734-1866
(808) 226-9220
(808) 218-7891
Mailing address
970 N KALAHEO AVE, SUITE C-108, KAILUA, HI 96734-1866
(808) 226-9220
(808) 218-7891

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD-10310
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00B0284394
HMSA
HI
Enumeration date
11/10/2005
Last updated
10/12/2015
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