Organization
HICKAM AFB 15TH MDG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES HAMILTON LPN (REFERRAL MANAGER)
(808) 448-6133
Entity
Organization
Contact information
Practice address
755 SCOTT CIR, 15TH MED GROUP, HICKAM AFB, HI 96853-5399
(808) 448-6133
Mailing address
755 SCOTT CIR, 15TH MED GROUP, HICKAM AFB, HI 96853-5399
(808) 448-6133
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14816
HI
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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