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Individual

JEFFREY KUWAHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30 MEMORIAL DR, PINEHURST, NC 28374-8707
(910) 295-4400
(910) 295-2810
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2021-00001
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/08/2015
Last updated
12/21/2022
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