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Individual

BRIAN F ISSELL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD FACP

Contact information

Practice address
1301 PUNCHBOWL ST, QUEENS MEDICAL CENTER, HONOLULU, HI 96813
(808) 538-9011
Mailing address
PO BOX 447, HAUULA, HI 96717-0447
(808) 293-4129
(808) 293-1425

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD6397
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04951002
HI
01
C056329
HMSA BCBS
HI
Enumeration date
01/31/2006
Last updated
07/08/2007
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