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POIPU MD, LLC

Ambulatory Health Care Facilities Clinic/Center Urgent Care

Provider NPI: 1821467796

Organization Information:
Organization Name:  POIPU MD, LLC
Organization is Subpart
Authorized Official:  J  BURRIS  PRESIDENT  808-652-7021

Practice Location:
5485 KOLOA RD SUITE 1652 KOLOA, HI 96756-3001 US
Tel: 808-346-3324  Fax: --

Business Mailing Address:
PO BOX 1652  KOLOA, HI 96756-1652 US
Tel: 808-346-3324  Fax: --

NPI Information:
NPI: 1821467796
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QU0200XAmbulatory Health Care Facilities
Clinic/Center
Urgent Care
HI14727

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QU0200X

Type:

Classification:



Definition:



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