Individual
DEREK M WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 CENTRAL AVE BLDG 1750, JBPHH, HI 96860-4908
(808) 474-4242
Mailing address
480 CENTRAL AVE BLDG 1750, JBPHH, HI 96860-4908
(808) 474-4242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1902
OK
363A00000X
Physician Assistant
Primary
AMD-1213
HI
Other
Enumeration date
03/02/2010
Last updated
07/27/2023
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