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Organization

DAVID G SERIGUCHI, MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID G SERIGUCHI M.D. (PRESIDENT)
(808) 242-5544
Entity
Organization

Contact information

Practice address
1931 E VINEYARD ST, SUITE 102, WAILUKU, HI 96793-1700
(808) 242-5544
(808) 242-0068
Mailing address
1931 E VINEYARD ST, SUITE 102, WAILUKU, HI 96793-1700
(808) 242-5544
(808) 242-0068

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
5286
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01941401
HI
Enumeration date
10/03/2007
Last updated
08/14/2008
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