Puuwai Professional Enterprises, LLC

NPI #1891163747 in Koloa, Hawaii

Provider Information

NPI Number
1891163747
Entity Type
Organization
Organization Name
Puuwai Professional Enterprises, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PUUWAI PROFESSIONAL ENTERPRISES, LLC
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Sep 9, 2015
Last Updated
Dec 24, 2016

Practice Location

Address
2585 WAHO ST
City
Koloa
State
Hawaii
ZIP Code
96756-9550
Phone
(808) 652-7021

Authorized Official

Name
DR. JOSEPH WAYNE BURRIS JR., MD
Title
PRESIDENT
Phone
(808) 652-7021

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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