Individual
MATTHEW WILLIAM SMUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A66656
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A66656
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4463978
—
MI
Enumeration date
10/19/2006
Last updated
04/27/2024
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