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Individual

DR. DARYL IRVING SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1816
(831) 477-2288
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
258840
NY
207L00000X
Anesthesiology Physician
Primary
G68213
CA
207L00000X
Anesthesiology Physician
MD25573
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213517
OR
05
8428351
WA
05
MD270OR
AK
01
P00316340
RR MEDICARE
OR
Enumeration date
08/02/2006
Last updated
08/27/2024
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