Individual
LI-DUEN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
46-001 KAMEHAMEHA HWY, KANEOHE, HI 96744-3711
(347) 806-1778
Mailing address
46-001 KAMEHAMEHA HWY, SUITE 204, KANEOHE, HI 96744-3711
(808) 235-8000
(808) 235-8008
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15925
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686800
—
HI
Enumeration date
03/19/2011
Last updated
04/26/2012
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