Individual
BRIANT W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3883 AIRWAY DR, SUITE 165, SANTA ROSA, CA 95403-1670
(707) 521-7799
(707) 521-8951
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-7799
(707) 521-8951
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G61163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G611630
—
CA
Enumeration date
10/25/2006
Last updated
04/17/2020
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