Individual
BRADFORD P BALIAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Mailing address
3288 MOANALUA RD, HONOLULU, HI 96819-1469
(808) 432-0000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN-397
HI
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0514
AZ
367500000X
Certified Registered Nurse Anesthetist
RN145581
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229113
—
AZ
05
—
55393401
—
HI
Enumeration date
11/06/2006
Last updated
10/09/2007
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