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Individual

MARC R MIYASAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 S BERETANIA ST, SUITE 605, HONOLULU, HI 96813-2414
(808) 548-2100
Mailing address
550 S BERETANIA ST, SUITE 605, HONOLULU, HI 96813-2414

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14301
HI
208000000X
Pediatrics Physician
MD14301
HI

Other

Enumeration date
06/25/2008
Last updated
02/29/2012
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