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General NPI Number Information
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NPI Number | 1114106036
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Entity Type | Individual
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Provider Name | JOHN THOMAS MCDONNELL MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 46-001 KAMEHAMEHA HWY STE 401
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City | KANEOHE
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State | HI
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Zip | 96744-3788
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Country | US
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Telephone | 808-247-6070
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Fax | 808-235-8928
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Provider Business Mailing Address
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Address Line | 46-001 KAMEHAMEHA HWY STE 401
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City | KANEOHE
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State | HI
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Zip | 96744-3788
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Country | US
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Telephone | 808-247-6070
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Fax | 808-235-8928
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 3865
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License Number State | HI
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