Individual
DR. MISAKO MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
67 WAIANUENUE AVENUE, HILO, HI 96720
(808) 961-3668
Mailing address
67-1249 KOALIULA PL, KAMUELA, HI 96743-8463
(415) 302-0239
(844) 412-6553
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
1107
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
E4736
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO-215
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H108090
MEDICARE PTAN
HI
Enumeration date
10/01/2007
Last updated
08/14/2024
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