Individual
PETER RP DONNELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95-390 KUAHELANI AVE, MILILANI, HI 96789
(808) 627-3200
(808) 623-7872
Mailing address
128 LEHUA ST, WAHIAWA, HI 96786
(808) 621-8411
(808) 621-4117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10133
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25214102
—
HI
05
—
B215836
—
HI
Enumeration date
01/18/2006
Last updated
07/09/2007
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