Doctor Name: | MR. DAVID ITSUO MIYAUCHI |
NPI Number: | 1982889028 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD4173 |
Business Practice Address: | 970 Valley View Drive Honolulu, HI - 96819 |
Business Phone Number: | 8088459086 |
Business Fax Number: | 8088459086 |
Mailing Address: | 970 Valley View Drive, HONOLULU |
State: | HI |
Postal Code: | 96819 |
Phone Number: | 8088459086 |
Fax Number: | 8088459086 |
NPI Enumeration Date: | 01/08/2008 |
NPI Last Update Date: | 01/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD4173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |