Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD11100 | HI |
N | 207YP0228X | Pediatric Otolaryngology | MD11100 | HI |
N | 207YS0123X | Facial Plastic Surgeon | MD11100 | HI |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD11100 | HI |
NPI | 1811936925 |
---|---|
Provider Name | Dr. David S. Crow |
First Address | Wailuku, HI 96793-2365 |
Second Address | Wailuku, HI 96793-2365 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
226605 | HMSA (01) | HI |
49491482 | (05) | HI |
H16892 | (02) | HI |