Provider Demographics
NPI:1801000518
Name:SPEAR, HAROLD C III (MD)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:C
Last Name:SPEAR
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 526
Mailing Address - Street 2:
Mailing Address - City:HANAPEPE
Mailing Address - State:HI
Mailing Address - Zip Code:96716
Mailing Address - Country:US
Mailing Address - Phone:808-335-5121
Mailing Address - Fax:808-335-5355
Practice Address - Street 1:3897 HANAPEPE RD
Practice Address - Street 2:
Practice Address - City:HANAPEPE
Practice Address - State:HI
Practice Address - Zip Code:96716
Practice Address - Country:US
Practice Address - Phone:808-335-5121
Practice Address - Fax:808-335-5355
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD439902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00860101Medicaid
HI00860101Medicaid
0000BDJJRMedicare ID - Type Unspecified