Organization
STL MEDICAL SERVICES LLC
Active
Other names
Minit-Medical Urgent Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN S GUPTON MD (CMO)
(808) 667-6161
Entity
Organization
Contact information
Practice address
305 KEAWE ST, SUITE 507, LAHAINA, HI 96761-2734
(808) 667-6161
(808) 667-6166
Mailing address
305 KEAWE ST, SUITE 507, LAHAINA, HI 96761-2734
(808) 667-6161
(808) 667-6166
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MD-13784
HI
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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