# HILO OBSTETRICS AND GYNECOLOGY, LLC

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

## Provider details

- **NPI number:** 1366710915
- **Authorized official:** DR. QUYEN-ANH DAI TRAN M.D. (DOCTOR)
- **Authorized official phone:** (808) 933-2100

## Contact information

- **Practice address:** 670 PONAHAWAI ST STE 115, HILO, HI 96720-7831
- **Practice address phone:** (808) 933-2100
- **Practice address fax:** (808) 933-2112
- **Mailing address:** 670 PONAHAWAI ST, SUITE 115, HILO, HI 96720-2660
- **Mailing address phone:** (808) 933-2100
- **Mailing address fax:** (808) 933-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD-16277 | HI | Yes |

## Other

- **Enumeration date:** 12/11/2011
- **Last updated:** 03/08/2012