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NPI Provider: 1194706572
Contact Name: Kuahiwinui June
Position: Credentials Function Chairperson
Phone: (808) 448-6219
15th Medical Group Information:
15th Medical Group organization have npi 1194706572, taxonomy code is 1223G0001X with license number is 32497 in . This Business address located in 755 Scott Cir, Hickam AFB, HI 96853 Hawaii. Get directions of 15th Medical Group.
Practice Location
Address: 304 6th St, Honolulu, HI 96818
Phone: (808) 422-0628
Business Location
Address: 755 Scott Cir, Hickam AFB, HI 96853
Phone: (808) 448-6219
Fax: (808) 448-6743
Taxonomy
Taxonomy Code: 1223G0001X
License Number: 32497
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 11/10/2005
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