Doctor Name: | PROF. BERNARD GORDON MCPHERSON |
NPI Number: | 1114327780 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 894 |
Business Practice Address: | 890 Kamokila Blvd Ste 102 Kapolei, HI - 967072022 |
Business Phone Number: | 8086741640 |
Business Fax Number: | 8086741640 |
Mailing Address: | 890 Kamokila Blvd Ste 102, KAPOLEI |
State: | HI |
Postal Code: | 967072022 |
Phone Number: | 8086741640 |
Fax Number: | 8086741640 |
NPI Enumeration Date: | 09/02/2014 |
NPI Last Update Date: | 09/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |