# ALAN D TICE MD LCC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043414675
- **Authorized official:** ALAN D TICE MD (OWNER)
- **Authorized official phone:** (808) 341-2020

## Contact information

- **Practice address:** 1286 QUEEN EMMA ST, HONOLULU, HI 96813-2303
- **Practice address phone:** (808) 538-2882
- **Practice address fax:** (808) 537-4272
- **Mailing address:** PO BOX 700309, KAPOLEI, HI 96709-0309
- **Mailing address phone:** (808) 203-7943
- **Mailing address fax:** (808) 693-8060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 11162 | HI | Yes |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 02/04/2010