Russell G Tacata MD
Russell G Tacata MD is a Clinic/Center in Honolulu, Hawaii. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1619 Liliha St Ste 3Honolulu, HI 96817-3152
Phone: (808) 531-5454
Fax: (808) 531-5451
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Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1831872126 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Tacata — Owner · (808) 531-5454 |
| Other names | Russell G Tacata Md |
| NPI enumerated | August 11, 2023 |
| Last updated in NPPES | August 11, 2023 |
| Certification date | August 11, 2023 |
| Mailing address | 1619 Liliha St Ste 3, Honolulu, HI 96817-3152 |
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