SUPERNOVA EMERGENCY PHYSICIANS, LLC

WAILUKU, HI
NPI1003287566
Entity TypeOrganization
Authorized ContactTENNA BEHM
Officer
469-401-2386
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2015-10-09
Last Update Date2015-10-09
Business Address
SUPERNOVA EMERGENCY PHYSICIANS, LLC
221 MAHALANI ST
WAILUKU, HI 96793-2526
Phone number: 469-401-2386
Mailing Address
SUPERNOVA EMERGENCY PHYSICIANS, LLC
PO BOX 98684
LAS VEGAS, NV 89193-8684
Phone number: 469-401-2386