Individual
SISAR MEDIOR PADERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99-902 MOANALUA RD, AIEA, HI 96701-3252
(808) 484-5426
Mailing address
4308 PIIKEA PL, HONOLULU, HI 96818-1840
(808) 422-9828
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD - 4865
HI
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
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