Organization
NORMAN GOODY, MD INC
Active
Other names
Pono Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN L GOODY MD (OWNER/PRESIDENT)
(808) 987-6465
Entity
Organization
Contact information
Practice address
75-809 KEAOLANI DR, KAILUA KONA, HI 96740-8815
(808) 987-6465
(877) 296-6734
Mailing address
75-809 KEAOLANI DR, KAILUA KONA, HI 96740-8815
(808) 987-6465
(877) 296-6734
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/13/2020
Last updated
08/18/2020
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