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Individual

TIMOTHY O. BERKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD-681
HI
363AM0700X
Medical Physician Assistant
5601003286
MI
363AS0400X
Surgical Physician Assistant
5601003286
MI

Other

Enumeration date
01/24/2007
Last updated
06/03/2021
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