Individual
MR. CURTIS NATHANIEL SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 W CASTLE ST, SUITE 200, MOUNT SHASTA, CA 96067-2206
(530) 926-4401
(530) 926-3791
Mailing address
PO BOX 1253, MOUNT SHASTA, CA 96067-2617
(530) 923-4401
(530) 926-3791
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A30448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A304480
—
CA
01
—
A30448
BLUE CROSS
—
01
—
P00464316
RAILROAD MEDICARE
CA
Enumeration date
01/06/2006
Last updated
07/23/2012
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