Individual
MR. MICHAEL R. PALMERSTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
77 MOHOULI ST, HILO, HI 96720-4181
(808) 961-5166
(808) 934-0071
Mailing address
72 ANUENUE ST, HILO, HI 96720-9734
(808) 969-3488
(808) 934-0071
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
302F00000X
HI
302R00000X
Health Maintenance Organization
Primary
305R00000X
HI
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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