Individual
WILLIAM E. CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Mailing address
94-1480 MOANIANI ST, WAIPAHU, HI 96797-4632
(808) 432-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-4398
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D0010944
HMSA BILLING NUMBER
HI
05
—
010515-02
—
HI
Enumeration date
11/16/2006
Last updated
10/13/2010
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