Organization
PACIFIC PEDIATRIC PULMONOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BEATY MD (OWNER)
(256) 289-0873
Entity
Organization
Contact information
Practice address
98-1079 MOANALUA RD STE 555, AIEA, HI 96701-4713
(256) 289-0873
Mailing address
98-1079 MOANALUA RD STE 555, AIEA, HI 96701-4713
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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