Organization
AIEA PEDIATRICS, LLC
Active
Other names
Brent K. Tamamoto, M.D., LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT KOICHI TAMAMOTO M.D. (PEDIATRICIAN)
(808) 754-4212
Entity
Organization
Contact information
Practice address
99-080 KAUHALE ST, SUITE C-22, AIEA, HI 96701-4116
(808) 487-1600
(808) 487-1601
Mailing address
99-080 KAUHALE ST, SUITE C-22, AIEA, HI 96701-4116
(808) 487-1600
(808) 487-1601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD14517
HI
Other
Enumeration date
09/01/2009
Last updated
12/30/2013
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