Individual
DR. PETER MARK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 925-7301
(415) 925-7317
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
(415) 883-3406
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A139084
CA
2085R0204X
Vascular & Interventional Radiology Physician
A139084
CA
Other
Enumeration date
05/29/2014
Last updated
01/28/2021
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