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Organization
CANYON PRIMARY CARE LLC
Active
Organization
CANYON PRIMARY CARE LLC
Active
Other names
Kailua Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CANYON MD (OWNER)
(808) 679-8518
Entity
Organization
Contact information
Practice address
328 ULUNIU ST STE 103, KAILUA, HI 96734-2542
(808) 263-3020
(808) 762-1586
Mailing address
328 ULUNIU ST STE 103, KAILUA, HI 96734-2542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
01/03/2022
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