Organization
PUUWAI PROFESSIONAL ENTERPRISES, LLC
Active
Parent organization
PUUWAI PROFESSIONAL ENTERPRISES, LLC
Other names
Poipu Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUUWAI PROFESSIONAL ENTERPRISES, LLC
Authorized official
DR. JOSEPH WAYNE BURRIS JR. MD (PRESIDENT)
(808) 652-7021
Entity
Organization
Contact information
Practice address
2585 WAHO ST, KOLOA, HI 96756-9550
(808) 652-7021
Mailing address
2585 WAHO ST, KOLOA, HI 96756-9550
(808) 652-7021
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
14727
HI
Other
Enumeration date
09/09/2015
Last updated
12/24/2016
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