Organization
HAWAII PAIN AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN D CARLSON MD (MD)
(808) 452-1379
Entity
Organization
Contact information
Practice address
40 AULIKE ST STE 411, KAILUA, HI 96734-2757
(808) 452-1379
(808) 201-4961
Mailing address
1670 MAKALOA ST # 204-321, HONOLULU, HI 96814-3232
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
19566
HI
Other
Enumeration date
05/17/2018
Last updated
10/07/2021
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