Provider Demographics
NPI:1376755330
Name:POAG, HOLLY MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:MARIE
Last Name:POAG
Suffix:
Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:ATTEN: RHONELLE C ACERET
Mailing Address - City:WAIMEA
Mailing Address - State:HI
Mailing Address - Zip Code:96796-0669
Mailing Address - Country:US
Mailing Address - Phone:808-240-2723
Mailing Address - Fax:808-338-9420
Practice Address - Street 1:2829 ALA KALANIKAUMAKA ST.
Practice Address - Street 2:STE.B201
Practice Address - City:KOLOA
Practice Address - State:HI
Practice Address - Zip Code:96756
Practice Address - Country:US
Practice Address - Phone:808-742-0999
Practice Address - Fax:808-742-0990
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2020-03-11
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Provider Licenses
StateLicense IDTaxonomies
MI5101016537207P00000X
HIDOS-1820207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine