Individual
ALICIA COKER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6827
(619) 532-7508
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-9795
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
MEDICARE
—
Enumeration date
05/23/2017
Last updated
05/23/2017
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