Individual
GREGORY PARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N CHURCH ST, WAILUKU, HI 96793-1600
(808) 244-7627
(808) 242-6696
Mailing address
SEVEN WATERFRONT PLAZA, 500 ALA MOANA BLVD., SUITE 300, HONOLULU, HI 96813
(808) 521-1317
(808) 533-1482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD3915
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04550602
—
HI
Enumeration date
06/17/2005
Last updated
07/08/2007
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