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General NPI Number Information
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NPI Number | 1598819294
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Entity Type | Individual
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Provider Name | DAVID ANTHONY SHEETZ MD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 2120 KAOHU STREET
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City | WAILUKU
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State | HI
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Zip | 96793
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Country | US
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Telephone | 808-242-1199
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Fax | 808-424-4411
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Provider Business Mailing Address
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Address Line | 2120 KAOHU STREET
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City | WAILUKU
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State | HI
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Zip | 96793
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Country | US
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Telephone | 808-242-1199
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Fax | 808-424-4411
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD5872
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License Number State | HI
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