Individual
BRYAN C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 S BERETANIA ST, STE. 215, HONOLULU, HI 96814-1520
(808) 532-3600
(808) 538-3220
Mailing address
1360 S BERETANIA ST, STE. 215, HONOLULU, HI 96814-1520
(808) 532-3600
(808) 538-3220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
13687
HI
207L00000X
Anesthesiology Physician
Primary
G79262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G792620
BLUE SHIELD OF CA
CA
05
—
00G792620
—
CA
Enumeration date
06/28/2006
Last updated
10/21/2008
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