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Individual

DR. JOSEPH HOWARD SMART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 499-2701
(858) 521-2008
Mailing address
4194 CALLE MAR DE BALLENAS, SAN DIEGO, CA 92130-2684

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-076473
OH
208000000X
Pediatrics Physician
Primary
G077755
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G777550
CA
Enumeration date
05/04/2006
Last updated
03/24/2011
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