Individual
BRIAN E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 797-1111
Mailing address
PO BOX V, MOUNTAIN VIEW, CA 94040-0150
(650) 691-0611
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G76268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G762681
—
CA
Enumeration date
08/05/2006
Last updated
05/29/2008
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