NPI | 1376837997 |
---|---|
Doing Business As | MANGO MEDICAL |
Entity Type | Organization |
Authorized Contact | TIMOTHY DUERLER President 808-351-6836 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
Enumeration Date | 2011-05-31 |
Last Update Date | 2015-09-25 |