Individual
GAVIN H PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 S BERETANIA ST STE 501, HONOLULU, HI 96813-2496
(808) 691-8955
Mailing address
550 S BERETANIA ST STE 501, HONOLULU, HI 96813-2496
(808) 691-8955
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD-21183
HI
Other
Enumeration date
04/15/2013
Last updated
08/04/2020
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