Individual
DR. PHILLIP JEFFREY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
39000 BOB HOPE DR, HIRSCHBERG BLG, STE 310, RANCHO MIRAGE, CA 92270-3267
(760) 568-2684
(760) 341-5832
Mailing address
PO BOX 1730, RANCHO MIRAGE, CA 92270-1058
(760) 568-2684
(760) 341-5832
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A10637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10637
OSTEOPATHIC MEDICAL BOARD LICENSE
CA
Enumeration date
05/15/2009
Last updated
02/20/2024
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