Provider Demographics
NPI:1508955055
Name:ARRINGTON, CLIFTON W JR (MD)
Entity Type:Individual
Prefix:
First Name:CLIFTON
Middle Name:W
Last Name:ARRINGTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CLIF
Other - Middle Name:
Other - Last Name:ARRINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 649
Mailing Address - Street 2:79-7266 MAMALAHOA HWY SUITE 3
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750
Mailing Address - Country:US
Mailing Address - Phone:808-322-9400
Mailing Address - Fax:808-324-7522
Practice Address - Street 1:79-7266 MAMALAHOA HWY
Practice Address - Street 2:SUITE 3 HONALO BUSINESS CENTER
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750
Practice Address - Country:US
Practice Address - Phone:808-322-9400
Practice Address - Fax:808-324-7522
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4410207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01347401Medicaid
HI01347401Medicaid