Organization
WARFIGHTER'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORIFUSA JOHN ANEGAWA MD, PHD (MANAGING PARTNER)
(808) 345-6832
Entity
Organization
Contact information
Practice address
91-1027 SHANGRILA ST, BLDG 1867, KAPOLEI, HI 96707-2101
(808) 345-6832
(808) 674-9696
Mailing address
91-1027 SHANGRILA ST, BLDG 1867, KAPOLEI, HI 96707-2101
(808) 345-6832
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
MD 13015
HI
208VP0000X
Pain Medicine Physician
Primary
MD 13015
HI
2251X0800X
Orthopedic Physical Therapist
PT 1815
HI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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