Individual
PAMELA R. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Mailing address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD12233
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0238707
HMSA BILLING NUMBER
HI
05
—
52991901
—
HI
Enumeration date
07/12/2006
Last updated
03/19/2009
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