Healthcare Provider Details
I. General information
NPI: 1821292327
Provider Name (Legal Business Name): ARNAR ROY MAGNUSSON M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/11/2007
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
677 ALA MOANA BLVD SUITE 1001
HONOLULU HI
96813-5408
US
IV. Provider business mailing address
677 ALA MOANA BLVD SUITE 1001
HONOLULU HI
96813-5408
US
V. Phone/Fax
- Phone: 808-469-4900
- Fax: 808-587-9507
- Phone: 808-469-4900
- Fax: 808-587-9507
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | MD-16041 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: