Organization
MT SHASTA CARDIOLOGY, INC
Active
Other names
MT SHASTA CARDIOLOGY INC, MT SHASTA CARDIOLOGY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS N SMITH M.D. (CARDIOLIGIST)
(530) 926-4401
Entity
Organization
Contact information
Practice address
110 W CASTLE ST STE 200, MOUNT SHASTA, CA 96067-2165
(530) 926-4067
(530) 926-3791
Mailing address
PO BOX 1253, MOUNT SHASTA, CA 96067-1253
(530) 926-4401
(530) 926-3791
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A304480
—
CA
01
—
DG9564
RAILROAD MEDICARE
CA
Enumeration date
07/27/2007
Last updated
05/17/2019
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