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Individual

DANIEL ELDRIDGE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
11175 CAMPUS ST # 21111, LOMA LINDA, CA 92350
(909) 558-5939
Mailing address
11175 CAMPUS ST # 21111, LOMA LINDA, CA 92350-1700
(509) 607-3184

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OP60970901
WA
2086S0127X
Trauma Surgery Physician
Primary
16594
CA

Other

Enumeration date
05/14/2013
Last updated
01/08/2021
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