Organization
RICHARD COLVILLE SMITH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD COLVILLE SMITH M.D. (OWNER)
(760) 806-9263
Entity
Organization
Contact information
Practice address
122 ESCONDIDO AVE, SUITE 101, VISTA, CA 92084-6055
(760) 806-9263
(760) 806-9264
Mailing address
122 ESCONDIDO AVE, SUITE 101, VISTA, CA 92084-6055
(760) 806-9263
(760) 806-9264
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A827520
—
CA
Enumeration date
06/26/2007
Last updated
03/06/2015
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