NPI 1083945265

Michael R. Palmerston, BA

Practitioner Health Maintenance Organization Hilo, HI

Practice location

Address: 77 Mohouli St, Hilo, HI 96720-4181
Phone: (808) 961-5166
Fax: (808) 934-0071
Mailing address: 72 Anuenue St, Hilo, HI 96720-9734

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 305R00000X (HI)

Other Health Maintenance Organization providers in Hawaii →

Exclusive Provider Organization

Managed Care Organizations Taxonomy 302F00000X Licence 302F00000X (HI)

Other Exclusive Provider Organization providers in Hawaii →

Registry record

NPI: 1083945265
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2010
Record last updated: 27 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.