# PACIFIC PULMONARY CONSULTANTS LLC

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

## Provider details

- **NPI number:** 1376605550
- **Authorized official:** TAD JACKSON MD (OWNER)
- **Authorized official phone:** (808) 245-5383

## Contact information

- **Practice address:** 3125 ELUA ST \# A, LIHUE, HI 96766-1212
- **Practice address phone:** (808) 245-5383
- **Mailing address:** PO BOX 3070, LIHUE, HI 96766-6070
- **Mailing address phone:** (808) 245-5383
- **Mailing address fax:** (808) 245-5388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 10307 | HI | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 08/22/2020