NPI | 1790560225 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL C HOAGLIN Owner 808-808-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2023-08-31 |
Last Update Date | 2025-01-24 |