Individual
NATHAN R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
ROBERT E BUSH NAVAL HOSPITAL, 1145 STURGIS RD, TWENTY NINE PALMS, CA 92278
(301) 319-8754
Mailing address
ROBERT E BUSH NAVAL HOSPITAL, 1145 STURGIS RD, TWENTY NINE PALMS, CA 92278
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102207384
VA
Other
Enumeration date
03/08/2021
Last updated
08/09/2024
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