Organization
PACIFIC DERMATOLOGY INC
Active
Organization
PACIFIC DERMATOLOGY INC
Active
Parent organization
PACIFIC DERMATOLOGY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PACIFIC DERMATOLOGY, INC.
Authorized official
JAC DANIEL MARDEN M.D. (PRESIDENT/PHYSICIAN)
(808) 249-8600
Entity
Organization
Contact information
Practice address
99 S MARKET ST STE 206, WAILUKU, HI 96793-2259
(808) 249-8600
Mailing address
99 S MARKET ST STE 206, WAILUKU, HI 96793-2259
(808) 249-8600
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/14/2008
Last updated
01/31/2009
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