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DR. JON STEPHEN VAN CLEAVE D.O.

Physicians Internal Medicine Allergy & Immunology

Provider NPI: 1053526947

Provider Information:
DR. JON STEPHEN VAN CLEAVE D.O.
Gender: M
Sole Proprietor

Practice Location:
367 PAPALOA RD  KAPAA, HI 96746-1441 US
Tel: 808-651-2290  Fax: --

Business Mailing Address:
PO BOX 1687  KOLOA, HI 96756-1687 US
Tel: 808-651-2290  Fax: 808-821-8656

NPI Information:
NPI: 1053526947
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RA0201XPhysicians
Internal Medicine
Allergy & Immunology
HIDOS-627

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207RA0201X

Type:

Classification:



Definition:



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