Market Street Clinic, Inc.
NPI #1275798928 in Wailuku, Hawaii
Provider Information
- NPI Number
- 1275798928
- Entity Type
- Organization
- Organization Name
- Market Street Clinic, Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jul 22, 2008
- Last Updated
- Jul 22, 2008
Practice Location
Authorized Official
- Name
- DR. CHRIS ALAN BOULANGE, M.D.
- Title
- PRESIDENT/GENERAL PRACTITIONER
- Phone
- (808) 244-0007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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