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Individual
DR. MARGUERITE SMITH
Active
Individual
DR. MARGUERITE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A77625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A776250
BLUE CROSS/BLUE SHIELD
CA
05
—
00A776250
—
CA
01
—
77040368493612B005
CHAMPUS
CA
01
—
P00085108
RAILROAD MEDICARE
CA
Enumeration date
11/10/2005
Last updated
02/26/2020
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