DEREK R ILLASTRON MD
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1790949956- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 110 E KAAHUMANU AVE, KAHULUI, HI, 967322118
- Phone
- (808) 242-6464
- Fax
- (808) 243-2367
Specialties & Taxonomies
Internal Medicine
License: MA #235414
Internal Medicine
Primary License: HI #MD-18353