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MR. MARK WILLIAM GOLDSCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
BUILDING 9, SCHOFIELD BARRACKS, SCHOFIELD BARRACKS, HI 96857
(808) 655-3117
Mailing address
94-515 MEHAME PL, WAIPAHU, HI 96797-5813
(619) 392-3314

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
CO

Other

Enumeration date
05/14/2009
Last updated
05/14/2009
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