Individual
HART LEGRAND MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15-2662 PAHOA VILLAGE RD, SUITE 306 PMB 8741, PAHOA, HI 96778-7730
(808) 930-6001
(808) 930-6007
Mailing address
15-2662 PAHOA VILLAGE RD, SUITE 306 PMB 8741, PAHOA, HI 96778-7730
(808) 930-6001
(808) 930-6007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101232571
VA
207QA0505X
Adult Medicine Physician
Primary
14141
HI
Other
Enumeration date
08/09/2006
Last updated
07/08/2015
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