Individual
JULIANE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD, HONOLULU, HI 96859
(808) 433-9333
Mailing address
44-694 KAHINANI PL, KANEOHE, HI 96744-2546
(808) 433-9333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD-521
HI
363AS0400X
Surgical Physician Assistant
Primary
AMD-521
HI
Other
Enumeration date
12/20/2005
Last updated
07/17/2014
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