Individual
MR. DAVID COOPER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, PHN, CNL
Contact information
Practice address
81719 DR CARREON BLVD STE A, INDIO, CA 92201-5518
(760) 340-0707
Mailing address
82879 KINGSBORO LN, INDIO, CA 92201-9667
(415) 341-7742
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95032693
CA
Other
Enumeration date
01/13/2020
Last updated
02/26/2025
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