Organization
DR. GREGORY A. SMITH, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALAN SMITH M.D. (PRESIDENT AND MEDICAL DIRECTOR)
(310) 863-0690
Entity
Organization
Contact information
Practice address
5680 N FRESNO ST STE 105, FRESNO, CA 93710-8331
(559) 374-5130
(888) 988-8315
Mailing address
PO BOX 3854, REDONDO BEACH, CA 90277-1717
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A50680
CA
207Q00000X
Family Medicine Physician
A77153
CA
Other
Enumeration date
07/21/2016
Last updated
07/20/2021
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