Organization
ISLAND PROFESSIONAL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN REIDY (OWNER)
(895) 907-8765
Entity
Organization
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(808) 932-3000
Mailing address
605 MAKALIKA ST, HILO, HI 96720-5847
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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