# STL MEDICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Minit-Medical Urgent Care Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306083175
- **Authorized official:** DR. SEAN S GUPTON MD (CMO)
- **Authorized official phone:** (808) 667-6161

## Contact information

- **Practice address:** 305 KEAWE ST, SUITE 507, LAHAINA, HI 96761-2734
- **Practice address phone:** (808) 667-6161
- **Practice address fax:** (808) 667-6166
- **Mailing address:** 305 KEAWE ST, SUITE 507, LAHAINA, HI 96761-2734
- **Mailing address phone:** (808) 667-6161
- **Mailing address fax:** (808) 667-6166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | MD-13784 | HI | Yes |

## Other

- **Enumeration date:** 01/15/2009
- **Last updated:** 01/15/2009