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Individual

JOSEPH PUMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
41-1295 KALANIANAOLE HWY, WAIMANALO, HI 96795-1536
(808) 259-7948
Mailing address
41-1295 KALANIANAOLE HWY, WAIMANALO, HI 96795-1536
(808) 259-7948

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22713
HI
207Q00000X
Family Medicine Physician
87161
MT
207Q00000X
Family Medicine Physician
ME153615
FL
390200000X
Student in an Organized Health Care Education/Training Program
MED-RES-LIC 52156
MT

Other

Enumeration date
05/04/2016
Last updated
08/02/2022
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