Organization
ISLAND UROLOGY HILO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYNN Y HATA MBA (ADMINISTRATOR)
(808) 522-5055
Entity
Organization
Contact information
Practice address
670 PONAHAWAI ST, SUITE 118, HILO, HI 96720-2660
(808) 961-0151
(808) 961-5993
Mailing address
1329 LUSITANA ST, SUITE 602, HONOLULU, HI 96813-2429
(808) 522-5055
(808) 522-5333
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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