Individual
DR. BRYAN WADE SIXKILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15TH MEDICAL GROUP, 755 SCOTT CIRCLE, JBPHH, HI 96853
(808) 448-6160
Mailing address
775 SCOTT CIRCLE, JBPHH, HI 96853
(808) 448-6160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2710
OK
Other
Enumeration date
04/27/2011
Last updated
08/01/2023
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