Organization
DAMIEN TAVARES MD, LLC
Active
Organization
DAMIEN TAVARES MD, LLC
Active
Other names
Hawaii Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMIEN KEKANEINOA TAVARES III MD (SOLE MEMBER)
(808) 445-9172
Entity
Organization
Contact information
Practice address
2226 LILIHA ST, SUITE 407, HONOLULU, HI 96817-1600
(808) 445-9172
(808) 445-9182
Mailing address
2226 LILIHA ST, SUITE 407, HONOLULU, HI 96817-1600
(808) 445-9172
(808) 445-9182
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
MD15987
HI
Other
Enumeration date
07/10/2013
Last updated
03/05/2016
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