Organization Name: | MAUI DERMATOLOGY |
NPI Number: | 1669507331 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MARSHALL KNOX (OWNER/PHYSICIAN) |
Mailing Address: | 375 Huku Lii Pl Suite 201 Kihei |
State: | HI US |
Postal Code: | 967538996 |
Phone Number: | 8088757477 |
Fax Number: | 8088794585 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 05/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD-12517 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |