# MIDNIGHT SUN GENL MEDICINE CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Midnight Sun Clinic and Medical Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497336226
- **Authorized official:** JERALD R SCOTT MD (MEDICAL DIRECTOR AND OWNER)
- **Authorized official phone:** (907) 775-6780

## Contact information

- **Practice address:** 91-3633 KAULUAKOKO ST UNIT 406, EWA BEACH, HI 96706-5867
- **Practice address phone:** (907) 775-6780
- **Practice address fax:** (808) 312-4582
- **Mailing address:** 91-3633 KAULUAKOKO ST UNIT 406, EWA BEACH, HI 96706-5867
- **Mailing address phone:** (907) 775-6780
- **Mailing address fax:** (808) 312-4582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2021
- **Last updated:** 08/19/2021