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Individual

DR. JOHN R VAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772
Mailing address
1881 NANI ST, WAILUKU, HI 96793-1811
(808) 871-7772

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18922
HI
207R00000X
Internal Medicine Physician
D0075692
MD
207RI0200X
Infectious Disease Physician
18922
HI
207RI0200X
Infectious Disease Physician
Primary
D0075692
MD

Other

Enumeration date
11/28/2008
Last updated
07/21/2022
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