Individual
MR. MICHAEL SAMPSON DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2001 VICTOR WHARF ACCESS RD, BLDG 995, PEARL CITY PENINSULA, PEARL CITY, HI 96782-3400
(808) 474-2500
Mailing address
2001 VICTOR WHARF ACCESS RD, BLDG 995, PEARL CITY PENINSULA, PEARL CITY, HI 96782-3400
(808) 474-2500
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710-1002X
IDC
—
Enumeration date
05/10/2013
Last updated
05/10/2013
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