Organization · NPI-2
Duerler, INC.
Family Medicine · Kamuela, HI
NPI number1376837997
StatusActive
Last updated in NPPESSep 25, 2015
Details
- NPI
- 1376837997
- Entity type
- Organization (NPI-2)
- Legal business name
- Duerler, INC.
- Organization subpart
- No
- Enumeration date
- May 31, 2011
- Last updated
- Sep 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | – | – |
Other names
- Mango Medical (Doing Business As)
Practice location
64-1032 Mamalahoa HwySuite 306
Kamuela, HI 96743
Phone 808-769-5010 · Fax 808-769-5208
Mailing address
64-1032 Mamalahoa HwySuite 306
Kamuela, HI 96743
Phone 808-769-5010 · Fax 808-769-5208
Authorized official
Timothy Duerler
President
8083516836
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