Organization
BIG ISLAND INTERNAL MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DENZER MD (OWNER)
(808) 937-2595
Entity
Organization
Contact information
Practice address
79-1019 HAUKAPILA ST, KEALAKEKUA, HI 96750-7920
(808) 756-1795
Mailing address
PO BOX 667, KEALAKEKUA, HI 96750-0667
(808) 756-1795
(808) 443-0365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4563
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01196701
—
HI
Enumeration date
02/05/2007
Last updated
01/07/2010
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