Individual
ROY E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-3507
Mailing address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-3507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
191926
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
191926
CA
Other
Enumeration date
05/27/2006
Last updated
11/15/2023
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