Bruce A Wing P.A.

NPI 1093995698 - Physician Assistant - 363A00000X

NPI Details
NPI 1093995698
Gender Male
Enumeration Date 11/12/2007
Last Updated 08/05/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1301 PUNCHBOWL ST
THE QUEEN'S MEDICAL CENTER, TRAUMA SURGICAL SERVICES
HONOLULU HI, 96813-2402, US
Phone (808) 537-7109
Fax (808) 537-7496
Business Location
1301 PUNCHBOWL ST
THE QUEEN'S MEDICAL CTR. MEDICAL STAFF SERVICES
HONOLULU HI, 96813-2402, US
Phone (808) 537-7109
Fax (808) 537-7496
Toxanomy
Taxonomy Code 363A00000X
License State Maine
License Number PA001158
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According to our database, Bruce A Wing P.A. NPI is 1093995698, taxonomy code is 363A00000X and license number is PA001158, license state is located at Maine. Bruce A Wing P.A. physically located at 1301 Punchbowl St, Honolulu HI, 96813-2402. NPI Number Bruce A Wing P.A. has the Individual type.

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1093995698 NPI number is provided on an as is basis without warranty of any kind. 1093995698 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce A Wing P.A. are for informational purposes only.