| NPI | 1003257585 |
|---|---|
| Other Name | HICOM FACULTY COMMUNITTY CLINICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BURTON PETTIS Medical Director / Dean 808-981-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: HI 671) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: HI acu-1054) |
| 171100000X Acupuncturist (Licence: HI acu-1056) | |
| 171100000X Acupuncturist (Licence: HI acu-1070) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |