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Organization

AIEA INTERNAL MEDICINE SERVICES, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAWN A MIURA M.D. (PHYSICIAN)
(808) 487-2277
Entity
Organization

Contact information

Practice address
98-1079 MOANALUA RD, SUITE 350, AIEA, HI 96701-4713
(808) 487-2277
(808) 488-5582
Mailing address
98-1079 MOANALUA RD, SUITE 350, AIEA, HI 96701-4713
(808) 487-2277
(808) 488-5582

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52327
GROUP NUMBER
HI
Enumeration date
08/04/2006
Last updated
11/26/2007
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