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Organization

KONA COAST INTERNAL MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONTHAN JAMES MD (PRESIDENT)
(808) 329-7007
Entity
Organization

Contact information

Practice address
77-6433 WALUA RD, KAILUA KONA, HI 96740
(808) 329-7007
(808) 329-4180
Mailing address
PO BOX 390372, KEAUHOU, HI 96739-0372
(808) 329-7007
(808) 329-4180

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD3580
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04265702
HI
Enumeration date
07/07/2005
Last updated
04/15/2008
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