Individual
DR. PHILIP DAVID MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
74-5620 PALANI RD, STE. 102, KAILUA KONA, HI 96740-3640
(808) 331-1205
(808) 329-2748
Mailing address
74-5620 PALANI RD, STE. 102, KAILUA KONA, HI 96740-3640
(808) 331-1205
(808) 329-2748
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-916
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23867-5
HMSA
HI
01
—
PM1038195
ASHN
HI
Enumeration date
10/26/2006
Last updated
06/26/2014
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