| Osr Weight Management | |
|
970 N Kalaheo Ave Suite C-316 Kailua HI 96734-1866 | |
| (808) 488-5555 | |
| (808) 356-0664 |
| Full Name | Osr Weight Management |
|---|---|
| Speciality | Internal Medicine |
| Location | 970 N Kalaheo Ave, Kailua, Hawaii |
| Authorized Official Name and Position | Stephen Wells (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8084885555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osr Weight Management 970 N Kalaheo Ave Suite C-316 Kailua HI 96734-1866 Ph: (808) 488-5555 | Osr Weight Management 970 N Kalaheo Ave Suite C-316 Kailua HI 96734-1866 Ph: (808) 488-5555 |
| NPI Number | 1669831913 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Medicare PECOS PAC ID | 9638459803 |
|---|---|
| Medicare Enrollment ID | O20161205000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669831913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (Hawaii) | Primary |
| Provider Name | Emily Ann Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538554720 PECOS PAC ID: 7517276561 Enrollment ID: I20160226001643 |
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