Damien Tavares Md, LLC

NPI #1598106247 in Honolulu, Hawaii

Provider Information

NPI Number
1598106247
Entity Type
Organization
Organization Name
Damien Tavares Md, LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Jul 10, 2013
Last Updated
Mar 5, 2016

Practice Location

Address
2226 LILIHA ST
Address 2
SUITE 407
State
Hawaii
ZIP Code
96817-1600
Phone
(808) 445-9172

Authorized Official

Name
DR. DAMIEN KEKANEINOA TAVARES III, MD
Title
SOLE MEMBER
Phone
(808) 445-9172

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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