| Doctor Name: | MR. BRUCE WAYNE GODWIN |
| NPI Number: | 1053750844 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN, COHN-S |
| License Number: | 520972 |
| Business Practice Address: | 480 Central Ave. Naval Health Clinic Hawaii Jbphh, HI - 96860 |
| Business Phone Number: | 8084744242 |
| Business Fax Number: | 8084711437 |
| Mailing Address: | 480 Central Ave., Naval Health Clinic Hawaii JBPHH |
| State: | HI |
| Postal Code: | 96860 |
| Phone Number: | 8084744242 |
| Fax Number: | 8084711437 |
| NPI Enumeration Date: | 06/14/2013 |
| NPI Last Update Date: | 06/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0106X |
| License Number: | 520972 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Occupational Health |
| Taxonomy Definition: | |