Organization
SJM PREMIER MEDICAL GROUP, LLC
Active
Parent organization
SJM PREMIER MEDICAL GROUP, LLC
Other names
Premier Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SJM PREMIER MEDICAL GROUP, LLC
Authorized official
NORA UEHARA (EXECUTIVE LEADERSHIP)
(808) 234-1094
Entity
Organization
Contact information
Practice address
3131 N COUNTRY CLUB RD STE 107-108, TUCSON, AZ 85716-1649
(520) 372-8626
(520) 372-8456
Mailing address
40-001 KMEHAMEHA HIGHWAY, SUITE 109, KANEOHE, HI 96744
(520) 372-8626
(520) 372-8456
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
=========
—
HI
Enumeration date
03/29/2022
Last updated
05/02/2022
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