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Organization

ANESTHESIA INNOVATIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JERALD MARK GARCIA M.D. (SOLE PROPRIETOR)
(612) 226-0242
Entity
Organization

Contact information

Practice address
1712 LILIHA ST, SUITE 301, HONOLULU, HI 96817-5410
(808) 206-5301
(808) 447-8696
Mailing address
7192 KALANIANAOLE HWY, SUITE A143A/144, HONOLULU, HI 96825-1800
(808) 206-5301
(808) 447-8696

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-15642
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3040337
OH
Enumeration date
06/19/2010
Last updated
09/08/2010
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