R. Craig Netzer Md Inc | |
4473 Pahee St Ste O Lihue HI 96766-2037 | |
(808) 246-2002 | |
(808) 246-2700 |
Full Name | R. Craig Netzer Md Inc |
---|---|
Speciality | Internal Medicine |
Location | 4473 Pahee St, Lihue, Hawaii |
Authorized Official Name and Position | Craig Netzer (MEDICAL DOCTOR) |
Authorized Official Contact | 8082462002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
R. Craig Netzer Md Inc 4473 Pahee St Ste L Lihue HI 96766-2037 Ph: (808) 632-0200 | R. Craig Netzer Md Inc 4473 Pahee St Ste O Lihue HI 96766-2037 Ph: (808) 246-2002 |
NPI Number | 1316012289 |
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Provider Enumeration Date | 11/22/2006 |
Last Update Date | 01/05/2011 |
Medicare PECOS PAC ID | 5092770982 |
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Medicare Enrollment ID | O20041119000517 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316012289 | NPI | - | NPPES |
50101602 | Medicaid | HI | |
HMSA BC HAWAII | Other | HI | 00A0232684 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD11719 (Hawaii) | Primary |
Provider Name | Roger Craig Netzer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205831864 PECOS PAC ID: 1456316355 Enrollment ID: I20041122000451 |
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