Organization
OMNI ANESTHESIA LLC
Active
Other names
DAN CLARK SOLE MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DAN CLARK DO (DO)
(808) 531-1116
Entity
Organization
Contact information
Practice address
1329 LUSITANA ST STE 604, HONOLULU, HI 96813-2431
(808) 531-1116
Mailing address
1329 LUSITANA ST STE 604, HONOLULU, HI 96813-2431
(808) 531-1116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207L00000X
HI
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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