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Individual

DR. MARK GRIPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
711 KAPIOLANI BLVD STE 200, HONOLULU, HI 96813-6028
(403) 594-1883
Mailing address
46-157 NAHIKU PL, KANEOHE, HI 96744-3625
(403) 594-1883

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MED-PHYS-LIC-114091
MT

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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