Individual
WILLIAM MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2309
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2374
HI
207RP1001X
Pulmonary Disease Physician
MD2374
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04262401
—
HI
01
—
323443
UHA
HI
01
—
9901768596793B034
TRICARE - CHAMPUS
HI
01
—
X47071
HMSAA - 65CP - HMSA QUEST
HI
Enumeration date
07/26/2006
Last updated
12/18/2017
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