Organization
PACIFIC MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC WRUCK (OWNER)
(808) 873-0733
Entity
Organization
Contact information
Practice address
95 LONO AVE STE 105, KAHULUI, HI 96732-1610
(808) 873-0733
Mailing address
PO BOX 1140, MAKAWAO, HI 96768-1140
(808) 873-0733
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
DC-726
HI
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN24680
HI
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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