Individual
DANIEL AARON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4873
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5431
AK
207Q00000X
Family Medicine Physician
Primary
A77141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5431
MEDICAL LICENSE
AK
01
—
A77141
MED BOARD
CA
Enumeration date
07/28/2006
Last updated
03/07/2023
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