Individual
JEFFREY KEITH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
950 N STATE ST, BLDG B, SUITE D & E, HEMET, CA 92543-1485
(951) 765-1777
(951) 765-1772
Mailing address
27699 JEFFERSON AVE, SUITE 300, TEMECULA, CA 92590-2661
(951) 252-8588
(951) 252-8589
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15652
CA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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