Individual provider · Type 1 NPI
Robert Randolph Waterford, MD
Vascular Surgery Physician · Kahului, HI
NPI number
1376559203
Active
Practice location
385 Hukilike St, Suite 210
Kahului, HI 96732-3522
Fax (808) 871-8344
Mailing address
PO Box 923
Wailuku, HI 96793-0923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 15055 (HI) |
| Vascular Surgery Physician Primary | 2086S0129X | 15055 (HI) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1376559203
Robert Randolph Waterford, MD's National Provider Identifier is 1376559203, issued on Jul 31, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Kahului, HI. The record was last updated on Feb 15, 2013.