Individual
DR. SCOTT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-6250
Mailing address
4601 DALE RD, MODESTO, CA 95356-9718
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301076442
MI
Other
Enumeration date
09/22/2006
Last updated
12/20/2021
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