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Individual

DR. MARK GREGORY PAHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, LMT

Contact information

Practice address
91-1488 PUKANALA ST, EWA BEACH, HI 96706-4678
(808) 277-8372
Mailing address
PO BOX 970116, WAIPAHU, HI 96797-0116
(808) 277-8372
(808) 680-0019

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-1939
HI
225700000X
Massage Therapist
MAT-9599
HI

Other

Enumeration date
03/23/2007
Last updated
12/23/2023
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