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Organization

POIPU MD, LLC

Active
Parent organization
POIPU MD, LLC
Other names
Poipu Mobile MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
POIPU MD, LLC
Authorized official
DR. J BURRIS JR. MD, MPH (PRESIDENT)
(808) 652-7021
Entity
Organization

Contact information

Practice address
5485 KOLOA RD, SUITE 1652, KOLOA, HI 96756-3001
(808) 346-3324
Mailing address
PO BOX 1652, KOLOA, HI 96756-1652
(808) 346-3324

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
14727
HI

Other

Enumeration date
09/21/2015
Last updated
06/04/2016
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