Organization
IAN S EBESUGAWA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN EBESUGAWA MD (CEO)
(808) 969-2055
Entity
Organization
Contact information
Practice address
75 PUUHONU PL STE 202, HILO, HI 96720-2000
(808) 969-2055
(808) 969-7146
Mailing address
75 PUUHONU PL STE 202, HILO, HI 96720-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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