Organization
HILO OSTEOPATHIC FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE M CHING DO (OWNER)
(808) 961-6922
Entity
Organization
Contact information
Practice address
780 LAUKAPU ST, HILO, HI 96720-4433
(808) 961-6922
(808) 935-6640
Mailing address
780 LAUKAPU ST, HILO, HI 96720-4433
(808) 961-6922
(808) 935-6640
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649599473
—
OK
Enumeration date
05/03/2022
Last updated
05/03/2022
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