NPI | 1215124656 |
---|---|
Doing Business As | RESORT MEDICINE OF WAILEA |
Entity Type | Organization |
Authorized Contact | JOSHUA D BIRD Managing Member 808-891-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: HI W27220253-01) |
Enumeration Date | 2007-10-01 |
Last Update Date | 2007-10-01 |