Individual provider · NPI-1

Heidi Denton, DO

Family Medicine · Lahaina, HI

NPI number1982086385
StatusActive
Last updated in NPPESSep 11, 2019

Details

NPI
1982086385
Entity type
Individual (NPI-1)
Name
Heidi Denton
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 22, 2015
Last updated
Sep 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineDOS-2011HIYes
207Q00000X Family Medicine20A14116CA

Practice location

130 Prison St
Lahaina, HI 96761-1299

Phone 808-661-0051 · Fax 808-661-5975

Mailing address

2180 Main St
Wailuku, HI 96793-1625

Phone 808-242-6464

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