Organization
RUSSELL G TACATA MD
Active
Other names
RUSSELL G TACATA MD
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL G TACATA MD (OWNER)
(808) 531-5454
Entity
Organization
Contact information
Practice address
1619 LILIHA ST STE 3, HONOLULU, HI 96817-3152
(808) 531-5454
(808) 531-5451
Mailing address
1619 LILIHA ST STE 3, HONOLULU, HI 96817-3152
(808) 531-5454
(808) 531-5451
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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