Bridge Medicine LLC

NPI #1801100177 in Makawao, Hawaii

Provider Information

NPI Number: 1801100177
Entity Type: Organization
Organization Name: Bridge Medicine LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 1120A MAKAWAO AVE
City: Makawao
State: Hawaii
ZIP Code: 96768-9448
Phone: (808) 573-7555

Authorized Official

Name: DR. MIA CARSON, MD
Title: PHYSICIAN/OWNER
Phone: (808) 573-7555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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