Organization
MT SHASTA CARDIOLOGY, INC
Active
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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