Organization
PACIFIC PULMONARY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAD JACKSON MD (OWNER)
(808) 245-5383
Entity
Organization
Contact information
Practice address
3125 ELUA ST # A, LIHUE, HI 96766-1212
(808) 245-5383
Mailing address
PO BOX 3070, LIHUE, HI 96766-6070
(808) 245-5383
(808) 245-5388
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
10307
HI
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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