Individual
BRADLEY DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2528 SISTER MARY COLUMBIA DRIVE, RED BLUFF, CA 96080-4327
(530) 528-6100
(530) 528-6146
Mailing address
3400 DATA DRIVE, PHYSICIAN SUPPORT SERVICES, RANCHO CORDOVA, CA 95670-7956
(916) 379-2948
(916) 858-7065
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4723
AK
207X00000X
Orthopaedic Surgery Physician
Primary
G79816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD6033
—
AK
Enumeration date
07/11/2006
Last updated
10/23/2012
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