Individual
RANDI NICOLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
1411 E 31ST ST, QIC 22134, OAKLAND, CA 94602-1018
(510) 437-4965
(510) 437-5127
Mailing address
51 N 39TH ST, SUITE 120 MOB, PHILADELPHIA, PA 19104-2640
(215) 662-7320
(215) 243-4605
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
MD454794
PA
Other
Enumeration date
06/23/2008
Last updated
05/10/2017
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