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General NPI Number Information
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NPI Number | 1801011523
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Entity Type | Organization
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Legal Business Name | TERRY A VERNOY MD INC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 1329 LUSITANA ST SUITE 206
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-550-4924
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Fax | 808-533-1448
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Provider Business Mailing Address
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Address Line | 1329 LUSITANA ST SUITE 206
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City | HONOLULU
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State | HI
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Zip | 96813-2429
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Country | US
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Telephone | 808-550-4924
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Fax | 808-533-1448
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERRY A VERNOY
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Credential | MD
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Telephone | 808-550-4924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD5263
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License Number State | HI
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