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Organization

LEE A. EVSLIN, M.D. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE A EVSLIN M.D. (PRESIDENT)
(808) 822-4844
Entity
Organization

Contact information

Practice address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
(808) 822-4844
(808) 821-2922
Mailing address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
(808) 822-4844
(808) 821-2922

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
3507
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447373865
INDIVIDUAL NPI
HI
Enumeration date
09/21/2010
Last updated
09/21/2010
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