Supernova Emergency Physicians, LLC

NPI #1003287566 in Wailuku, Hawaii

Provider Information

NPI Number: 1003287566
Entity Type: Organization
Organization Name: Supernova Emergency Physicians, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 9, 2015
Last Updated: Oct 9, 2015

Practice Location

Address: 221 MAHALANI ST
City: Wailuku
State: Hawaii
ZIP Code: 96793-2526
Phone: (469) 401-2386

Authorized Official

Name: TENNA BEHM
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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