Organization
INTELERETINA PROFESSIONAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HANNUM (PRESIDENT)
(808) 277-6816
Entity
Organization
Contact information
Practice address
1010 S KING ST STE 218B, HONOLULU, HI 96814-1703
(808) 744-5189
Mailing address
PO BOX 31000, HONOLULU, HI 96849-5769
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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