Organization
DOUGLAS GRAHAM INC.
Active
Other names
Discovery Bay Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE GRAHAM (VICE PRESIDENT)
(808) 955-5553
Entity
Organization
Contact information
Practice address
1778 ALA MOANA BLVD, UL-5, HONOLULU, HI 96815-1605
(808) 955-5553
(808) 955-5575
Mailing address
1778 ALA MOANA BLVD, UL-5, HONOLULU, HI 96815-1605
(808) 955-5553
(808) 955-5575
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00241984
BC/BS HAWAII GROUP#
HI
Enumeration date
05/16/2006
Last updated
08/22/2020
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