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Individual

DAVID E SMALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4444 MAGNOLIA AVENUE, RIVERSIDE, CA 92501-4136
(951) 682-5661
(951) 686-3758
Mailing address
4444 MAGNOLIA AVENUE, RIVERSIDE, CA 92501-4136
(951) 682-5661
(951) 686-3758

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C39716
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ75817Z
CA
Enumeration date
06/17/2006
Last updated
08/05/2008
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