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Organization

INJURY CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TODD A BLACK DC (MEMBER)
(808) 524-8588
Entity
Organization

Contact information

Practice address
31 S BERETANIA ST, HONOLULU, HI 96813-2220
(808) 524-8588
Mailing address
31 S BERETANIA ST, HONOLULU, HI 96813-2220
(808) 524-8588

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
261QM1300X
Multi-Specialty Clinic/Center
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
07/02/2015
Last updated
07/02/2015
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