Organization
ISLAND ORTHOPEDIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TETSUTO NUMATA M.D. (PRESIDENT)
(808) 871-0778
Entity
Organization
Contact information
Practice address
140 HOOHANA ST, SUITE 209, KAHULUI, HI 96732-2467
(808) 871-0778
(808) 442-0747
Mailing address
PO BOX 1091, KIHEI, HI 96753-1091
(808) 871-0778
(808) 442-0747
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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