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David Mendonsa, PA-C
General Practice Physician in Keaau, Hawaii
NPI 1417386475

David Mendonsa is a General Practice Physician based in Hilo, HI. David Mendonsa practices in Keaau, HI and has the professional credentials of PA-C. The NPI Number for David Mendonsa is 1417386475 and holds a License No. ATP1392 (Hawaii).

The current practice location address for David Mendonsa is 15-1697 Tenth Ave, Keaau, HI and can be reached out via phone at 808-377-4734.

Location: 15-1697 Tenth Ave, Keaau, HI, 96720-8484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417386475
Provider Name
David Mendonsa
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
15-1697 Tenth Ave, Keaau, HI, 96720-8484
Phone Number
808-377-4734
Fax Number
Provider Enumeration Date
11/10/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15-1697 Tenth Ave
City
Keaau
State
Hawaii
Zip
96749
Phone Number
808-377-4734
Fax Number
person
Provider Business Mailing Address Details
Address
15-1697 Tenth Ave
City
Keaau
State
Hawaii
Zip
96749
Phone Number
808-377-4734
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Paramedic
Speciality
-
Taxonomy
146L00000X
License No.
AMD621 (Hawaii)
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ATP1392 (Hawaii)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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