Provider Demographics
NPI:1851751861
Name:MID PACIFIC PHYSICIANS AND SURGEONS
Entity Type:Organization
Organization Name:MID PACIFIC PHYSICIANS AND SURGEONS
Other - Org Name:MID PACIFIC SURGICAL SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:B
Authorized Official - Last Name:CHASEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-856-4060
Mailing Address - Street 1:1830 WELLS ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2365
Mailing Address - Country:US
Mailing Address - Phone:808-856-4060
Mailing Address - Fax:808-442-9670
Practice Address - Street 1:1830 WELLS ST
Practice Address - Street 2:SUITE 101
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2365
Practice Address - Country:US
Practice Address - Phone:808-856-4060
Practice Address - Fax:808-442-9670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty