Organization
HAWAIIAN ISLANDS DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI BLACK (OFFICE MANAGER)
(808) 263-3233
Entity
Organization
Contact information
Practice address
1051 KEOLU DR STE 107, KAILUA, HI 96734-3800
(808) 263-3233
(808) 263-3220
Mailing address
1051 KEOLU DR STE 107, KAILUA, HI 96734-3800
(808) 263-3233
(808) 263-3220
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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