NPI | 1396203295 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN PAUL MOSES Managing Partner 808-762-0911 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
261QX0100X Clinic/Center, Occupational Medicine | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-03-10 |
Last Update Date | 2025-05-16 |