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Individual
RICHARD CHARLES SMITH
Active
Individual
RICHARD CHARLES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C31822
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C318220
—
CA
01
—
1720126089
FACILITY NPI
CA
05
—
7993517
—
CA
01
—
C31820
LICENSE
CA
01
—
WC31822B
MEDICARE PPIN
CA
Enumeration date
03/31/2006
Last updated
12/11/2007
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