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Individual

MR. WILLIAM BERWYN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41877 ENTERPRISE CIR N, STE 110, TEMECULA, CA 92590-5656
(951) 296-2244
(951) 296-3604
Mailing address
41877 ENTERPRISE CIR N, STE 110, TEMECULA, CA 92590-5656
(951) 296-2244
(951) 296-5734

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G28719
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00628719
CA
01
180013990
RAILROAD MEDICARE
CA
Enumeration date
05/22/2006
Last updated
05/14/2008
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