Healthcare Provider Details
I. General information
NPI: 1164836185
Provider Name (Legal Business Name): BENJAMIN B MORRIS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/18/2014
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
STRAUB BENIOFF MILILANI CLINIC 95-1249 MEHEULA PARKWAY, BUILDING M
MILILANI HI
96789
US
IV. Provider business mailing address
STRAUB BENIOFF MILILANI CLINIC 95-1249 MEHEULA PARKWAY, BUILDING M
MILILANI HI
96789
US
V. Phone/Fax
- Phone: 808-625-6444
- Fax: 808-623-2552
- Phone: 808-625-6444
- Fax: 808-623-2552
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083A0100X |
| Taxonomy | Aerospace Medicine Physician |
| License Number | DOS-2719 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | DOS-2719 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: