Organization
PACIFIC ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
1029 MAKOLU STREET, SUITE H, PEARL CITY, HI 96782-2890
(808) 456-6420
(808) 456-6421
Mailing address
1029 MAKOLU ST STE H, PEARL CITY, HI 96782-2890
(615) 345-6900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OHCA FSOF 15
HI
Other
Enumeration date
03/21/2007
Last updated
01/12/2025
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