| Gordan J Trockman Md Inc | |
|
970 N Kalaheo Avenue Suite A102 Kailua HI 96734 | |
| (808) 254-6484 | |
| (808) 254-6427 |
| Full Name | Gordan J Trockman Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 970 N Kalaheo Avenue, Kailua, Hawaii |
| Authorized Official Name and Position | Gordon J Trockman (OWNER) |
| Authorized Official Contact | 8085239363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordan J Trockman Md Inc 820 Mililani Street Suite 702a Honolulu HI 96813 Ph: (808) 523-9363 | Gordan J Trockman Md Inc 970 N Kalaheo Avenue Suite A102 Kailua HI 96734 Ph: (808) 254-6484 |
| NPI Number | 1053406538 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053406538 | NPI | - | NPPES |
| 03754201 | Medicaid | HI | |
| 0000041319 | Other | HI | HMSA PROVIDER NUMBER |
| 03754202 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD2980 (Hawaii) | Primary |
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