Individual
THOMAS J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 TAOS RD, ALTADENA, CA 91001-3953
(626) 376-4070
Mailing address
240 TAOS RD, ALTADENA, CA 91001-3953
(626) 376-4070
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
75739
MA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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