Individual provider · NPI-1

Stephen D Daly, DO

Family Medicine · Kihei, HI

NPI number1225157902
StatusActive
Last updated in NPPESDec 11, 2019

Details

NPI
1225157902
Entity type
Individual (NPI-1)
Name
Stephen D Daly
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2007
Certification date
Dec 11, 2019
Last updated
Dec 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine941HIYes
2083X0100X Preventive Medicine, Occupational Medicine5101014493MI

Practice location

221 Piikea Ave Ste A
Kihei, HI 96753-8268

Phone 808-874-8100 · Fax 808-874-6887

Mailing address

221 Piikea Ave Ste A
Kihei, HI 96753-8268

Phone 808-874-8100 · Fax 808-874-6887

Other practice locations

28196 Schoolcraft Rd
Livonia, MI 48150-2205

Phone 615-778-4066 · Fax 615-778-9114

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