Organization
PACIFIC ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER/AO)
(480) 567-0269
Entity
Organization
Contact information
Practice address
134 PUUHONU WAY, HILO, HI 96720-2066
(808) 969-3979
(808) 531-5819
Mailing address
134 PUUHONU WAY, HILO, HI 96720-2066
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
FSOF-9
HI
Other
Enumeration date
04/28/2014
Last updated
11/10/2024
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