# POIPU MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POIPU MD, LLC
- **Other names:** Poipu Mobile MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821467796
- **Legal business name:** POIPU MD, LLC
- **Authorized official:** DR. J BURRIS JR. MD, MPH (PRESIDENT)
- **Authorized official phone:** (808) 652-7021

## Contact information

- **Practice address:** 5485 KOLOA RD, SUITE 1652, KOLOA, HI 96756-3001
- **Practice address phone:** (808) 346-3324
- **Mailing address:** PO BOX 1652, KOLOA, HI 96756-1652
- **Mailing address phone:** (808) 346-3324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 14727 | HI | Yes |

## Other

- **Enumeration date:** 09/21/2015
- **Last updated:** 06/04/2016