Individual
DR. BLAKE ANDREW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2402
(808) 547-4311
Mailing address
770 KAPIOLANI BLVD STE 705, HONOLULU, HI 96813-5241
(808) 597-8791
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
134234
NC
207P00000X
Emergency Medicine Physician
15211
HI
Other
Enumeration date
03/06/2007
Last updated
07/21/2009
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