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Individual

MARC K. MORIFUJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AMD127
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
233973
HMSA 65CP HMSA QUEST
HI
01
915643
UHA
HI
01
99017685996793
TRICARE CHAMPUS
HI
Enumeration date
07/26/2006
Last updated
05/07/2021
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