Individual
DR. STEPHEN N WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD-9289
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000239053
HMSA BILLING NUMBER
HI
05
—
493784-01
—
HI
Enumeration date
12/19/2006
Last updated
07/09/2007
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