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1174512057
BERTRAM CLIFFORD PROVIDENCE
HONOLULU, HI
NPI
1174512057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery
(Licence: HI MD-11256)
Enumeration Date
2005-10-14
Last Update Date
2024-05-30
Business Address
DR. BERTRAM CLIFFORD PROVIDENCE M.D.
459 PATTERSON RD
HONOLULU, HI 96819-1522
Phone number: 808-433-0600
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Mailing Address
DR. BERTRAM CLIFFORD PROVIDENCE M.D.
459 PATTERSON RD
HONOLULU, HI 96819-1522
Phone number: 808-433-0600
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