Individual
BARRY SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SANTA ROSA MEMORIAL HOSPITAL, 1165 MONTGOMERY DRIVE, SANTA ROSA, CA 95405-4897
(707) 522-1573
Mailing address
4774 BAYTREE PL, SANTA ROSA, CA 95405-8792
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A24784
CA
Other
Enumeration date
06/16/2006
Last updated
07/21/2022
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