U.s. Coast Guard Isc Honolulu

NPI #1316029259 in Honolulu, Hawaii

Provider Information

NPI Number
1316029259
Entity Type
Organization
Organization Name
U.s. Coast Guard Isc Honolulu
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Oct 19, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
400 SAND ISLAND PKWY
Address 2
HEALTH SERVICES DIVISION
State
Hawaii
ZIP Code
96819-4326
Phone
(808) 842-2930

Authorized Official

Name
MARC A. BUTLER
Title
CLINIC ADMINISTRATOR
Phone
(808) 842-2927

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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