Individual
MR. MARK SAMONSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
556 WAIANUENUE AVE, HILO, HI 96720-2522
(808) 313-5500
Mailing address
PO BOX 128, HONOMU, HI 96728-0128
(808) 936-5391
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
2000002024
HI
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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