Organization
HAWAII SHOULDER AND ORTHOPEDIC INSTITUTE LLC
Active
Organization
HAWAII SHOULDER AND ORTHOPEDIC INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL ANN BOROMEO (BILLING AND CREDENTIALING)
(808) 987-0404
Entity
Organization
Contact information
Practice address
670 KEKUANAOA ST, HILO, HI 96720-4405
(808) 935-3378
(808) 961-0498
Mailing address
PO BOX 10742, HILO, HI 96721-5742
(808) 935-3375
(808) 961-0498
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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