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Contact Information

AARON B WICKLEY, MD
1 JARRETT WHITE RD
MOANALUA, HI96859-5001
 Phone: 808-433-5220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for AARON B WICKLEY · (Male)

NPI # 1568625275
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2008
Last updated 09/15/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A132302
  • HI License # MD-15395
  • TX License # Q9554
Hospital affiliation(s)
  • ENLOE MEDICAL CENTER - (Acute Care)
    1531 ESPLANADE
    CHICO, CA 95926
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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