Most Relevant Information
Provider Data
| NPI Number: | 1003484437 |
| Provider Name: | RYAN DAVID ASENCIOS |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | AMD1233 |
Most Important Dates
| Enumeration Date: | 06/13/2021 |
| Last Updated: | 05/10/2023 |
Provider Practice Location
770 KAPIOLANI BLVD STE 705
HONOLULU
HI
968135241
Practice Location Phone/Fax
| Phone: | 8085978791 |
| Fax: |
Provider Mailing Location
770 KAPIOLANI BLVD STE 705
HONOLULU
HI
968135241
Provider Mailing Phone/Fax
| Phone: | 8085978791 |
| Fax: | 8085978781 |