Organization
STACY R SMITH, MD APC
Active
Other names
California Dermatology & Clinical Research Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY SMITH MD (PRESIDENT)
(760) 203-3839
Entity
Organization
Contact information
Practice address
2371 LAGOON VIEW DR, CARDIFF, CA 92007-1507
(619) 787-5723
(619) 342-7428
Mailing address
561 SAXONY PL, SUITE 102, ENCINITAS, CA 92024-7700
(760) 203-3839
(760) 203-3840
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G65407
CA
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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