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Pueo Family Practice

Clinic/Center in Makawao, HI. Organization (NPI-2).

NPI number1083154751
StatusActive
Last updated in NPPESMar 1, 2017

Details

NPI
1083154751
Entity type
Organization (NPI-2)
Legal business name
Pueo Family Practice
Organization subpart
Yes
Enumeration date
Mar 1, 2017
Last updated
Mar 1, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/CenterMD-17180HIYes

Practice location

1120a Makawao Ave
Makawao, HI 96768-9448

Phone 808-573-2222 · Fax 808-573-2224

Mailing address

1120a Makawao Ave
Makawao, HI 96768-9448

Phone 808-573-2222 · Fax 808-573-2224

Authorized official

Curtis Bekkum
Owner
8085732222

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