Organization
BIG ISLAND ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON D AH LOY M.D. (OWNER)
(808) 887-0600
Entity
Organization
Contact information
Practice address
64-5188 KINOHOU ST, KAMUELA, HI 96743-8409
(808) 887-0600
(808) 887-6699
Mailing address
64-5188 KINOHOU ST, KAMUELA, HI 96743-8409
(808) 887-0600
(808) 887-6699
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
FSOF-14
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56698701
—
HI
Enumeration date
07/05/2006
Last updated
02/14/2013
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