IndividualActive
Aaron Wallace
NPI 1558981688 · Otolaryngology Physician · Wailuku, HI
Provider details
- NPI number
- 1558981688
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125.076044 (IL)
Practice location
71 Kanoa St Ste 101
Wailuku, HI 96793-5816
Phone: (808) 244-5999
Fax: (808) 244-1295
Mailing address
71 Kanoa St Ste 101
Wailuku, HI 96793-5816
Registry dates
- Enumerated
- 2020-04-18
- Last updated
- 2025-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.