DR. Russell G Tacata, M.D.

NPI #1356341002 in Honolulu, Hawaii

Provider Information

NPI Number
1356341002
Entity Type
Individual
Name
DR. Russell G Tacata, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
General Practice
Credential
M.D.
Enumeration Date
Jul 22, 2005
Last Updated
Aug 3, 2023

Practice Location

Address
1619 LILIHA STREET
Address 2
#3
State
Hawaii
ZIP Code
96817-3152
Phone
(808) 531-5454

Specialties & Taxonomy Codes

Specialty
General Practice

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