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Individual
DR. DAVID SMOCK
Active
Individual
DR. DAVID SMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24675
AZ
207QA0000X
Adolescent Medicine (Family Medicine) Physician
2003017056
MO
208D00000X
General Practice Physician
A54922
CA
Other
Enumeration date
05/27/2005
Last updated
06/14/2010
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