Most Relevant Information
Provider Data
| NPI Number: | 1003325366 |
| Provider Name: | JUSTIN HESSE IDC |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/29/2017 |
| Last Updated: | 09/29/2017 |
Provider Practice Location
BUILDING 17 BISHOP POINT
PEARL HARBOR
HI
96860
Practice Location Phone/Fax
| Phone: | 8084719292 |
| Fax: |
Provider Mailing Location
535 ILIAINA ST
KAILUA
HI
967341812
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |