Individual
DR. CHARLES S. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE BOX 0124, SAN FRANCISCO, CA 94143-0001
(415) 476-1326
(415) 502-8627
Mailing address
505 PARNASSUS AVE BOX 0124, SAN FRANCISCO, CA 94143-0001
(415) 476-1326
(415) 502-8627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A90128
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A90128
CA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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