Individual
MARC K. MORIFUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
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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