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Individual
DR. TODD W SMITH
Active
Individual
DR. TODD W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
141958
MT
207L00000X
Anesthesiology Physician
Primary
20A7675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX76750
—
CA
01
—
020A76750
BLUE SHIELD
CA
Enumeration date
10/11/2005
Last updated
09/04/2024
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