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Individual

CRAIG P. GOARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
53-532 IOLE RD., KAPAAU, HI 96755-1774
(808) 889-5030
Mailing address
PO BOX 551774, KAPAAU, HI 96755-1774
(808) 889-5030

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD-15487
HI
207RI0011X
Interventional Cardiology Physician
G38821
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G388210
CA
Enumeration date
11/01/2006
Last updated
08/19/2015
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