Individual
DR. ERIC DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 EL CAMINO REAL STE 100, ATHERTON, CA 94027-3803
(650) 364-3080
(650) 364-2004
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
(415) 883-8082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A68606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A686060
—
CA
01
—
0212626
L&I
WA
05
—
08255024
—
CO
05
—
1376599191
—
NV
01
—
300134148
RAILROAD MEDICARE
WA
01
—
300134150
RAILROAD MEDICARE
CA
01
—
5578SM
REGENCE BLUE SHIELD
WA
01
—
8905618
L&I; CVCP
WA
05
—
912841
—
AZ
05
—
9413833
—
WA
Enumeration date
05/25/2006
Last updated
04/21/2021
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