Organization
TYLER G. SMITH, MD. A PROFESSIONAL CORPORATION
Active
Other names
Sierra Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER G SMITH MD (CEO)
(916) 352-0016
Entity
Organization
Contact information
Practice address
5 MEDICAL PLAZA DR STE 120, ROSEVILLE, CA 95661-2866
(916) 352-0016
(916) 299-0032
Mailing address
5 MEDICAL PLAZA DR STE 120, ROSEVILLE, CA 95661-2866
(916) 352-0016
(916) 299-0032
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A108880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A108880
LICENSE NUMBER
CA
Enumeration date
12/09/2017
Last updated
03/12/2024
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