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Individual

GARY SALENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2321
Mailing address
2180 MAIN ST, WAILUKU, HI 96793-1666
(808) 242-6464
(808) 243-2321

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD2689
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
660443
UHA
HI
01
99017685996793B067
TRICARE CHAMPUS
HI
01
X39128
HMSA, HMSA QUEST, 65CP
HI
Enumeration date
08/12/2006
Last updated
04/10/2008
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