Doctor Name: | DR. GRETCHEN J SALMON |
NPI Number: | 1356430326 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 3722 |
Business Practice Address: | 45-493c Ilima Street Honokaa, HI - 967271363 |
Business Phone Number: | 8087757258 |
Business Fax Number: | 8087758062 |
Mailing Address: | 67-1123 Mamalahoa Hwy, Ste 128 KAMUELA |
State: | HI |
Postal Code: | 967438451 |
Phone Number: | 8088857351 |
Fax Number: | 8088854120 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 3722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |