| Nathan Kwon, | |
|
1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 | |
| (808) 433-2460 | |
| (808) 433-1558 |
| Full Name | Nathan Kwon |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Jarrett White Rd, Tripler Amc, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295790368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD-13468 (Hawaii) | Primary |
| Entity Name | Waianae District Comprehensive Health And Hospital Board, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275566424 PECOS PAC ID: 9931008349 Enrollment ID: O20040105000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Kwon, 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: () - | Nathan Kwon, 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 |
Ross Graham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-6864 | |
Mark Baldeshwiler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 888-683-2778 | |
Alexander Stephen Borges, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-3707 | |
Dr. Peter Bulkley Woollett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Dr. Douglas Jerome Waffen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Dr. John Edward Mallon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn:mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 |