Individual
SCOTT HAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4221
AZ
363A00000X
Physician Assistant
Primary
AMD-331
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285536
HMSA
HI
01
—
631826
HMA
HI
01
—
AMD-331
LIC
HI
Enumeration date
11/14/2008
Last updated
01/15/2024
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