Emergency Medical Care

NPI #1902085863 in Honolulu, Hawaii

Provider Information

NPI Number
1902085863
Entity Type
Organization
Organization Name
Emergency Medical Care
Primary Specialty
Emergency Medicine
Enumeration Date
Oct 29, 2007
Last Updated
Apr 20, 2008

Practice Location

Address
2230 LILIHA ST
State
Hawaii
ZIP Code
96817-1646
Phone
(808) 547-6387

Authorized Official

Name
JENNIFER PROVASNIK
Title
SUPERVISOR OF PROVIDER ENROLLMENT
Phone
(800) 355-0808

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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