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General NPI Number Information
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NPI Number | 1184499782
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Entity Type | Organization
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Legal Business Name | DOUGLAS L SMITH MD
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Dates
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Enumeration Date | 11/24/2023
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Last Update Date | 11/24/2023
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Provider Practice Location Address
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Address Line | 1188 BISHOP STREET SUITE 3007
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City | HONOLULU
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State | HI
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Zip | 96813-3321
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Country | US
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Telephone | 808-599-3922
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Fax | 808-599-8612
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Provider Business Mailing Address
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Address Line | 1188 BISHOP STREET SUITE 3007
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City | HONOLULU
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State | HI
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Zip | 96813-3321
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Country | US
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Telephone | 808-599-3922
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Fax | 808-599-8612
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS L SMITH
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Credential | MD
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Telephone | 808-599-3922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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