PANIOLO PEDIATRICS LLC
Ambulatory Health at Mamalahoa Hwy, Kamuela, HI

License number
Hawaii MD16732
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. BRETT COLIN FERGUSON MD
Title: SOLE MEMBER
Phone: (808) 887-6543
Address
Address
64-1032 Mamalahoa Hwy STE 204, Kamuela, HI 96743
National Provider ID: 1790162980
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PANIOLO PEDIATRICS LLC at bizstanding.com

PANIOLO PEDIATRICS LLC

64-1032 Mamalahoa Hwy STE 204, Kamuela, HI 96743

Registration:
May 7, 2015
State ID:
129648 C5
Business type:
Domestic Limited Liability Company (LLC)
Agent:
Brett Ferguson,64-1032 Mamalahoa Hwy STE 204, Kamuela, HI 96743 (Physical)

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