Individual
DR. CORDELL BECKER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1813 W HARVARD AVE STE 542, ROSEBURG, OR 97471-2779
(541) 673-7322
(541) 673-3615
Mailing address
1813 W HARVARD AVE STE 542, ROSEBURG, OR 97471-2779
(541) 673-7322
(541) 673-3615
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP151009
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
EL 1713
CA
Other
Enumeration date
12/19/2007
Last updated
02/06/2025
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