| Bridge Medicine Llc | |
|
1120a Makawao Ave Makawao HI 96768-9448 | |
| (808) 573-7555 | |
| Not Available |
| Full Name | Bridge Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1120a Makawao Ave, Makawao, Hawaii |
| Authorized Official Name and Position | Mia Carson (PHYSICIAN/OWNER) |
| Authorized Official Contact | 8085737555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Medicine Llc 1120a Makawao Ave Makawao HI 96768-9448 Ph: (808) 573-7555 | Bridge Medicine Llc 1120a Makawao Ave Makawao HI 96768-9448 Ph: (808) 573-7555 |
| NPI Number | 1801100177 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 07/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801100177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13323 (Hawaii) | Primary |
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