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Individual

GREGORY L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
(808) 823-8888
(808) 823-8889
Mailing address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
(808) 823-8888
(808) 823-8889

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 694
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000209015
BCBS
HI
Enumeration date
12/29/2006
Last updated
11/09/2007
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