Doctor Name: | DEBORAH MATHIAS |
NPI Number: | 1336163237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD3419 |
Business Practice Address: | 2180 Main St Wailuku, HI - 967931666 |
Business Phone Number: | 8082426464 |
Business Fax Number: | 8082432343 |
Mailing Address: | 2180 Main St, WAILUKU |
State: | HI |
Postal Code: | 967931666 |
Phone Number: | 8082426464 |
Fax Number: | 8082432343 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD3419 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |