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NPI Profile for PACIFIC VASCULAR ASSOCIATES LLC in AIEA, HI.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1154888014 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/27/2019 | |
| Last updated | 03/06/2026 - About 3 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PACIFIC VASCULAR ASSOCIATES, LLC
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PACIFIC VASCULAR ASSOCIATES, LLC