Big Island Internal Medicine, Inc | |
79-1019 Haukapila St Kealakekua HI 96750-7920 | |
(808) 756-1795 | |
Not Available |
Full Name | Big Island Internal Medicine, Inc |
---|---|
Speciality | Internal Medicine |
Location | 79-1019 Haukapila St, Kealakekua, Hawaii |
Authorized Official Name and Position | Stephen Denzer (OWNER) |
Authorized Official Contact | 8089372595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Big Island Internal Medicine, Inc Po Box 667 Kealakekua HI 96750-0667 Ph: (808) 756-1795 | Big Island Internal Medicine, Inc 79-1019 Haukapila St Kealakekua HI 96750-7920 Ph: (808) 756-1795 |
NPI Number | 1992844021 |
---|---|
Provider Enumeration Date | 02/05/2007 |
Last Update Date | 01/07/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992844021 | NPI | - | NPPES |
01196701 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4563 (Hawaii) | Primary |
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› Verified 8 days ago
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