Individual
DR. BRYAN M MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-0990
(808) 486-4696
Mailing address
98-1079 MOANALUA ROAD, SUITE 500, AIEA, HI 96701-4794
(808) 488-0990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-4301
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01018501
—
HI
Enumeration date
06/14/2006
Last updated
11/09/2012
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