| Uh Manoa Sports Medicine | |
|
1337 Lower Campus Rd Honolulu HI 96822-2352 | |
| (808) 956-6594 | |
| (808) 956-4637 |
| Full Name | Uh Manoa Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1337 Lower Campus Rd, Honolulu, Hawaii |
| Authorized Official Name and Position | Gale Yamase (OFFICE MANAGER) |
| Authorized Official Contact | 8089566505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uh Manoa Sports Medicine 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Uh Manoa Sports Medicine 1337 Lower Campus Rd Honolulu HI 96822-2352 Ph: (808) 956-6594 |
| NPI Number | 1669860219 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 01/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669860219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
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