Maui Dermatology
Specialist in Kihei, HI. Organization (NPI-2).
NPI number1669507331
StatusActive
Last updated in NPPESMay 14, 2015
Details
- NPI
- 1669507331
- Entity type
- Organization (NPI-2)
- Legal business name
- Maui Dermatology
- Organization subpart
- No
- Enumeration date
- Feb 22, 2007
- Last updated
- May 14, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MD-12517 | HI | Yes |
Practice location
375 Huku Lii PlSuite 201
Kihei, HI 96753-8996
Phone 808-875-7477 · Fax 808-879-4585
Mailing address
375 Huku Lii PlSuite 201
Kihei, HI 96753-8996
Phone 808-875-7477 · Fax 808-879-4585
Authorized official
John Marshall Knox
Owner/Physician
8088757477
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