Individual
DR. JOEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-4205
Mailing address
2179 ZINFANDEL DR, SANTA ROSA, CA 95403-4178
(707) 573-0653
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A091302
CA
Other
Enumeration date
07/26/2006
Last updated
02/11/2022
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