Organization
BDR ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY REBER M.D. (SINGLE-MEMBER OWNER)
(808) 847-5385
Entity
Organization
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 847-5385
Mailing address
PO BOX 10224, FULLERTON, CA 92838-6224
(808) 847-5385
(808) 847-5387
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18643
HI
Other
Enumeration date
08/23/2016
Last updated
09/16/2016
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