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Organization

AUDIE ASISTIN, M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AUDIE PIZARRO ASISTIN M.D. (OWNER/PRESIDENT)
(808) 678-7061
Entity
Organization

Contact information

Practice address
91-2141 FORT WEAVER RD, EWA BEACH, HI 96706-1993
(808) 678-7061
Mailing address
PO BOX 700309, KAPOLEI, HI 96709-0309
(808) 203-7943
(808) 693-8060

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
49608501
HI
Enumeration date
02/28/2008
Last updated
10/20/2021
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