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PACIFIC RIM CARDIOVASCULAR INC

Physicians Surgery Vascular Surgery

Provider NPI: 1891013199

Organization Information:
Organization Name:  PACIFIC RIM CARDIOVASCULAR INC
Organization is not Subpart
Authorized Official:  ROBERT RANDOLPH WATERFORD  PRESIDENT  808-268-5789

Practice Location:
385 HUKILIKE ST. SUITE 210 KAHULUI, HI 96732 US
Tel: 808-871-8346  Fax: --

Business Mailing Address:
PO BOX 923  WAILUKU, HI 96793-0923 US
Tel: 808-268-5789  Fax: --

NPI Information:
NPI: 1891013199
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2086S0129XPhysicians
Surgery
Vascular Surgery
HI15055
Y208G00000XPhysicians
Thoracic Surgery (Cardiothoracic Vascular Surgery)
HI15055

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208G00000X

Type:

Classification:



Definition:



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