Provider Demographics
NPI:1194016832
Name:DONLON, TIMOTHY ATCHISON (PHD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ATCHISON
Last Name:DONLON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1010 S KING ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1701
Mailing Address - Country:US
Mailing Address - Phone:808-592-1183
Mailing Address - Fax:808-592-1184
Practice Address - Street 1:1010 S KING ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1701
Practice Address - Country:US
Practice Address - Phone:808-592-1183
Practice Address - Fax:808-592-1184
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI277291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory