Organization
MEDICAL ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD KW CHOCK M.D. (OWNER)
(866) 726-6441
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, C/O MEDICAL STAFF - ANESTHESIA, HONOLULU, HI 96813-2402
(866) 726-6644
Mailing address
PO BOX 17128, HONOLULU, HI 96817-0128
(866) 726-6441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD802
HI
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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