Organization
ELIZABETH E MANNICK MD A PROFESSIONAL CORPORATION
Active
Organization
ELIZABETH E MANNICK MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH E MANNICK (PRESIDENT)
(808) 877-2424
Entity
Organization
Contact information
Practice address
39 KAMEHAMEHA AVE, SUITE B, KAHULUI, HI 96732-2263
(808) 877-2424
(808) 877-6464
Mailing address
1630B PIIHOLO RD, MAKAWAO, HI 96768-7244
(808) 283-3330
(808) 877-6464
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
HI 13829
HI
2080P0206X
Pediatric Gastroenterology Physician
Primary
HI 13829
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306879747
NPPES
—
Enumeration date
06/09/2008
Last updated
01/26/2009
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