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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