| Alan D Tice Md Lcc | |
|
1286 Queen Emma St Honolulu HI 96813-2303 | |
| (808) 538-2882 | |
| (808) 537-4272 |
| Full Name | Alan D Tice Md Lcc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1286 Queen Emma St, Honolulu, Hawaii |
| Authorized Official Name and Position | Alan D Tice (OWNER) |
| Authorized Official Contact | 8083412020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan D Tice Md Lcc Po Box 700309 Kapolei HI 96709-0309 Ph: (808) 203-7943 | Alan D Tice Md Lcc 1286 Queen Emma St Honolulu HI 96813-2303 Ph: (808) 538-2882 |
| NPI Number | 1043414675 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043414675 | NPI | - | NPPES |
| 50586006 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 11162 (Hawaii) | Primary |
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