Individual
DR. CHARLES BARTON SMOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1809 NATIONAL AVENUE, SAN DIEGO, CA 92113-2196
(619) 515-2300
(619) 234-2447
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2323
(619) 906-4564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A97036
CA
Other
Enumeration date
06/12/2008
Last updated
10/28/2010
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