NPI | 1740324201 |
---|---|
Entity Type | Organization |
Authorized Contact | VANCE L FLETCHER CEO 808-671-3715 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: HI 13964) |
Enumeration Date | 2007-02-17 |
Last Update Date | 2015-03-03 |