Organization
HAWAII COLLEGE OF ORIENTAL MEDICINE
Active
Other names
HICOM Faculty Communitty Clinical Services
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. WILLIAM BURTON PETTIS MS, EAMP, LAC, (MEDICAL DIRECTOR / DEAN)
(808) 981-2790
Entity
Organization
Contact information
Practice address
93 BANYAN DR STE 10, HILO, HI 96720-4632
(808) 933-1369
(866) 757-2131
Mailing address
93 BANYAN DR STE 10, HILO, HI 96720-4632
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
671
HI
171100000X
Acupuncturist
ACU-1054
HI
171100000X
Acupuncturist
ACU-1056
HI
171100000X
Acupuncturist
ACU-1070
HI
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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