IndividualActive
Mark Gibson, MD
NPI 1730107038 · Neurology Physician · Wailuku, HI
Provider details
- NPI number
- 1730107038
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 227243 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
80 Mahalani St
Wailuku, HI 96793-2531
Phone: (808) 243-6000
Approximate (ZIP-level) locationGet directions
Mailing address
80 Mahalani St
Wailuku, HI 96793-2531
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2021-05-26
- Certified
- 2021-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.