Organization
JOHN A HEASTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA L MAKAOKALANI (OFFICE MANGER)
(808) 933-3555
Entity
Organization
Contact information
Practice address
122 HAILI ST, HILO, HI 96720-2804
(808) 933-3555
(808) 934-9630
Mailing address
122 HAILI ST, HILO, HI 96720-2804
(808) 933-3555
(808) 934-9630
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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