Individual
GORDON ARTHUR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
USS HELENA SSN 725, APO-AP, CA 96667-2405
(619) 553-8998
Mailing address
12083 CALLE DE MONTANA, 220, EL CAJON, CA 92019-4913
(619) 553-8998
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/20/2006
Last updated
09/18/2008
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