Individual
SCOTT HAL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
84 N CHURCH ST STE 206, WAILUKU, HI 96793
(808) 281-7477
(808) 646-7383
Mailing address
711 KAPIOLANI BLVD STE 500, HONOLULU, HI 96813-5255
(808) 941-3363
(808) 949-0483
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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