Individual
JOHN-ALLEN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4610 X ST, SACRAMENTO, CA 95817-2200
(415) 760-4282
Mailing address
4940 9TH AVE, SACRAMENTO, CA 95820-1523
(415) 760-4282
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A182240
CA
208D00000X
General Practice Physician
Primary
A182240
CA
Other
Enumeration date
01/03/2019
Last updated
08/24/2023
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