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Organization · Family Medicine Physician · Ewa Beach, HI

NPI
1104083856
Type
Organization (Type 2)
Primary specialty
Family Medicine Physician (Family Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Q00000X
License number
10645 (HI)
Enumerated
2008-05-20
Last updated
2008-06-10
Practice location
91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
(808) 678-7000

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