Individual
DR. RICHARD ORLAND BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1357 KAPIOLANI BLVD, SUITE 1250, HONOLULU, HI 96814-4549
(808) 973-1650
(808) 973-0726
Mailing address
PO BOX 23348, HONOLULU, HI 96823-3348
(808) 781-2023
(808) 973-0726
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
MD3497
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038840-01
ALOHACARE
HI
05
—
038840-01
—
HI
01
—
990298651-96706-E020
TRICARE
HI
01
—
9902986510-03
UNIVERSITY HEALTH ALLIANC
HI
01
—
MD3497-01
MDX HAWAII
HI
Enumeration date
12/29/2006
Last updated
07/08/2007
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