Individual
DAMIEN L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2911 CHANTICLEER AVE, SANTA CRUZ, CA 95065
(831) 477-2350
Mailing address
2350 W EL CAMINO REAL FL 2, MOUNTAIN VIEW, CA 94040-6203
(831) 477-2350
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A112593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1091430
—
LA
01
—
DV559V
MEDICARE
CA
Enumeration date
08/05/2007
Last updated
06/20/2018
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