Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 6677 | HI |
NPI | 1073503793 |
---|---|
Provider Name | Dr. Conrad Scott Belnap |
First Address | Kailua, HI 96734-1623 |
Second Address | Tamc, HI 96859-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 08/07/2007 |