Island Urology Hilo LLC

NPI #1053592147 in Hilo, Hawaii

Provider Information

NPI Number: 1053592147
Entity Type: Organization
Organization Name: Island Urology Hilo LLC
Primary Specialty: Urology
Enumeration Date: Nov 17, 2007
Last Updated: Nov 17, 2007

Practice Location

Address: 670 PONAHAWAI ST
Address 2: SUITE 118
City: Hilo
State: Hawaii
ZIP Code: 96720-2660
Phone: (808) 961-0151

Authorized Official

Name: MS. MARILYNN Y HATA, MBA
Title: ADMINISTRATOR
Phone: (808) 522-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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