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Organization
MIDNIGHT SUN GENL MEDICINE CLINIC
Active
Organization
MIDNIGHT SUN GENL MEDICINE CLINIC
Active
Other names
Midnight Sun Clinic and Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD R SCOTT MD (MEDICAL DIRECTOR AND OWNER)
(907) 775-6780
Entity
Organization
Contact information
Practice address
91-3633 KAULUAKOKO ST UNIT 406, EWA BEACH, HI 96706-5867
(907) 775-6780
(808) 312-4582
Mailing address
91-3633 KAULUAKOKO ST UNIT 406, EWA BEACH, HI 96706-5867
(907) 775-6780
(808) 312-4582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
08/19/2021
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