Doctor Name: | JOHN STERLING ENDICOTT |
NPI Number: | 1053404624 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., M.P.H. |
License Number: | MD-6354 |
Business Practice Address: | 438 Uluniu St Kailua, HI - 967342517 |
Business Phone Number: | 8082618842 |
Business Fax Number: | 8082624822 |
Mailing Address: | 438 Uluniu St, KAILUA |
State: | HI |
Postal Code: | 967342517 |
Phone Number: | 8082618842 |
Fax Number: | 8082624822 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | MD-6354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |