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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | MD-17180 | HI | Yes |
Practice location
1120a Makawao AveMakawao, HI 96768-9448
Phone 808-573-2222 · Fax 808-573-2224
Mailing address
1120a Makawao AveMakawao, HI 96768-9448
Phone 808-573-2222 · Fax 808-573-2224
Authorized official
Curtis Bekkum
Owner
8085732222
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