Organization
MIRANDA FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP D MIRANDA D.C. (PRESIDENT)
(808) 327-3070
Entity
Organization
Contact information
Practice address
75-5591 PALANI RD, SUITE 207, KAILUA KONA, HI 96740-3631
(808) 327-3070
Mailing address
75-5591 PALANI RD, SUITE 207, KAILUA KONA, HI 96740-3631
(808) 327-3070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
916
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PM1038195
ASHN
HI
Enumeration date
08/07/2007
Last updated
08/07/2007
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