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Organization
INJURY CARE CENTER
Active
Organization
INJURY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD A BLACK DC (MEMBER)
(808) 524-8588
Entity
Organization
Contact information
Practice address
31 S BERETANIA ST, HONOLULU, HI 96813-2220
(808) 524-8588
Mailing address
31 S BERETANIA ST, HONOLULU, HI 96813-2220
(808) 524-8588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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