Organization
PALI MOMI
Active
Organization
PALI MOMI
Active
Parent organization
HAWAII PACIFIC HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAWAII PACIFIC HEALTH
Authorized official
ART GLADSTONE (CEO)
(808) 486-6000
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA RD, MOB 640, AIEA, HI 96701-4713
(808) 485-4250
Mailing address
98-1079 MOANALUA RD, MOB 640, AIEA, HI 96701-4713
(808) 485-4250
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
APRN 1776
HI
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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