DEREK M WILLS

JBPHH, HI
NPI1841513157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: HI  AMD-1213)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OK  1902)
Enumeration Date2010-03-02
Last Update Date2023-07-27
Business Address
DEREK M WILLS
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860-4908
Phone number: 808-474-4242
Mailing Address
DEREK M WILLS
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860-4908
Phone number: 808-474-4242