Organization
HAWAII PHYSICIANS ASSOCIATION LLC
Active
Other names
East Hawaii Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A MATSUURA M.D. (MANAGER)
(808) 969-3331
Entity
Organization
Contact information
Practice address
80 PAUAHI ST STE 103, HILO, HI 96720-3043
(808) 969-3331
(808) 935-6175
Mailing address
670 PONAHAWAI ST STE 214, HILO, HI 96720-7830
(808) 969-3331
(808) 935-6175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-566
HI
363LF0000X
Family Nurse Practitioner
APRN-RX-445
HI
363LG0600X
Gerontology Nurse Practitioner
APRN-566
HI
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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