Organization
HONOLULU SPINE CENTER, LLC
Active
Other names
Honolulu Sports & Spine Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
500 ALA MOANA BLVD STE 301, HONOLULU, HI 96813-4920
(808) 237-2970
Mailing address
500 ALA MOANA BLVD STE 301, HONOLULU, HI 96813-4920
(808) 237-2970
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
03/10/2020
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