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Individual

GREGORY ALAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5680 N FRESNO ST STE 105, FRESNO, CA 93710-8331
(559) 374-5130
(888) 977-4918
Mailing address
PO BOX 3854, REDONDO BEACH, CA 90277-1717
(310) 863-0690
(310) 492-9941

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
A50680
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A50680
CA

Other

Enumeration date
05/31/2006
Last updated
11/04/2021
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