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Individual

DR. JOHN LEON BOSSIAN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
15TH MDOS JBPH, CIRCLE ROAD, PEARL HARBOR, HI 96734
(808) 448-6100
Mailing address
515 ILIAINA ST, KAILUA, HI 96734-1812
(808) 448-6100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1419
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5820708
RI
05
JB35286
RI
01
MS46923
WELFARE
RI
Enumeration date
04/28/2006
Last updated
07/17/2018
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