Hickam Afb 15th Mdg | |
755 Scott Cir 15th Med Group Hickam Afb HI 96853-5399 | |
(808) 448-6133 | |
Not Available |
Full Name | Hickam Afb 15th Mdg |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 755 Scott Cir, Hickam Afb, Hawaii |
Authorized Official Name and Position | Mercedes Hamilton (REFERRAL MANAGER) |
Authorized Official Contact | 8084486133 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hickam Afb 15th Mdg 755 Scott Cir 15th Med Group Hickam Afb HI 96853-5399 Ph: (808) 448-6133 | Hickam Afb 15th Mdg 755 Scott Cir 15th Med Group Hickam Afb HI 96853-5399 Ph: (808) 448-6133 |
NPI Number | 1952582009 |
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Provider Enumeration Date | 11/16/2007 |
Last Update Date | 11/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952582009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 14816 (Hawaii) | Primary |
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