Organization
WAVES OF HEALTH LLC
Active
Other names
BoardsportsDoc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON AUSTIN EVERLINE M.D. (PHYSICIAN)
(303) 882-7739
Entity
Organization
Contact information
Practice address
68-615 FARRINGTON HWY, 21A, WAIALUA, HI 96791-9377
(303) 882-7739
Mailing address
68-615 FARRINGTON HWY, 21A, WAIALUA, HI 96791-9377
(303) 882-7739
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
MD-15206
HI
Other
Enumeration date
04/08/2010
Last updated
12/22/2011
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