Individual
BRIAN ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4216 HANA HWY, HANA, HI 96713
(808) 248-8511
Mailing address
PO BOX 695, HANA, HI 96713-0695
(808) 248-8511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-804
HI
Other
Enumeration date
01/05/2007
Last updated
07/09/2007
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