Organization
J. GLENN HAINES, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GLENN HAINES M.D. (PRESIDENT)
(808) 244-3200
Entity
Organization
Contact information
Practice address
1830 WELLS ST STE 101, WAILUKU, HI 96793-2365
(808) 244-3200
(808) 244-9793
Mailing address
1830 WELLS ST STE 101, WAILUKU, HI 96793-2365
(808) 244-3200
(808) 244-9793
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
3041
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037938
—
HI
01
—
CS8366
MEDICARE RAILROAD
HI
Enumeration date
08/10/2010
Last updated
12/21/2010
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