Individual
TODD C SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 550-4725
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G83519
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G83519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G835190
—
CA
Enumeration date
05/10/2006
Last updated
07/25/2011
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