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DOUGLAS MITCHELL SIDES M.D.

Individual Provider (NPI-1) Active

Radiology, Diagnostic Radiology

Provider Information

NPI Number
1144228255
Provider Type
Individual Provider (NPI-1)
Credentials
M.D.
Status
Active

Contact & Location

Address
688 KINOOLE ST SUITE 103, HILO, HI, 96720
Phone
(808) 935-1825
Fax
(903) 663-7394

Specialties & Taxonomies

Radiology, Diagnostic Radiology License: CA #G76456
Radiology, Vascular & Interventional Radiology License: CA #G76456
Radiology, Diagnostic Radiology Primary License: NV #10716

All Addresses

LOCATION

688 KINOOLE ST SUITE 103

HILO, HI, 96720

(808) 935-1825

MAILING

PO BOX 30077

SALT LAKE CITY, UT, 841300077

(702) 477-0772