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Organization

WAIKOLOA MEDICAL ARTS, INC.

Active
Find providers by NPI
Organization

WAIKOLOA MEDICAL ARTS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BAYARDO JOSE AVILES (ADMINISTRATOR)
(808) 960-5792
Entity
Organization

Contact information

Practice address
64-1035 MAMALAHOA HWY, SUITE K, KAMUELA, HI 96743-8440
(808) 883-9785
(808) 883-9783
Mailing address
64-1035 MAMALAHOA HWY, SUITE K, KAMUELA, HI 96743-8440
(808) 883-9785
(808) 883-9783

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD7441
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A0088581
HMSA BCBS HAWAII
HI
05
06811102
HI
Enumeration date
11/15/2006
Last updated
02/16/2017
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