| Pacific Medical Group Llc | |
|
95 Lono Ave Ste 105, Kahului, HI 96732-1610 | |
| (808) 873-0733 | |
| Not Available |
| Full Name | Pacific Medical Group Llc |
|---|---|
| Type | Facility |
| Speciality | Clinical Nurse Specialist - Adult Health |
| Location | 95 Lono Ave Ste 105, Kahului, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811353998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0100X | Chiropractor - Occupational Health | DC-726 (Hawaii) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | RN24680 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Medical Group Llc Po Box 1140, Makawao, HI 96768-1140 Ph: (808) 873-0733 | Pacific Medical Group Llc 95 Lono Ave Ste 105, Kahului, HI 96732-1610 Ph: (808) 873-0733 |
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