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Organization

PROPOFOL DREAMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON A TAN M.D. (OWNER)
(808) 227-6477
Entity
Organization

Contact information

Practice address
500 ALA MOANA BLVD SUITE, SUITE 1B, HONOLULU, HI 96813
(808) 227-6477
(808) 726-2199
Mailing address
PO BOX 6007, KANEOHE, HI 96744-9167
(808) 227-6477
(808) 726-2199

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
03/30/2018
Last updated
06/13/2018
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