Individual
DR. STEVEN ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 SOTOYOME STREET, SANTA ROSA, CA 95405-4823
(707) 525-4003
(707) 578-6258
Mailing address
121 SOTOYOME STREET, SANTA ROSA, CA 95405-4823
(707) 525-4003
(707) 578-6258
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G46439
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G46439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G464390
BLUE SHIELD OF CALIFORNIA
CA
05
—
00G464390
—
CA
01
—
P00270356
RAILROAD MEDICARE
CA
Enumeration date
12/05/2005
Last updated
10/29/2010
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