Organization
PAN PACIFIC PATHOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALYSSA PARK (CEO)
(808) 680-7238
Entity
Organization
Contact information
Practice address
91-2135 FORT WEAVER RD, EWA BEACH, HI 96706-1929
(808) 677-7999
(808) 677-7990
Mailing address
33 LANIHULI ST, HILO, HI 96720-4142
(808) 935-4814
(808) 935-2518
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
88CL74
HI
Other
Enumeration date
03/03/2006
Last updated
09/08/2008
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