Healthcare Provider Details

I. General information

NPI: 1962865394
Provider Name (Legal Business Name): CAMERON PATERSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2016
Last Update Date: 09/26/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVE
JOINT BASE PEARL HARBOR HICKAM HI
96860
US

IV. Provider business mailing address

572 N KALAHEO AVE
KAILUA HI
96734-2161
US

V. Phone/Fax

Practice location:
  • Phone: 888-683-2778
  • Fax:
Mailing address:
  • Phone: 954-551-3473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0101278136
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: