Organization
RANDALL W. SMITH, M.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL WILLIAM SMITH M.D. (NEUROSURGEON)
(760) 741-3809
Entity
Organization
Contact information
Practice address
1678 CLOVERDALE RD, GATE CODE 2503, ESCONDIDO, CA 92027-6717
(760) 741-3809
(858) 683-2022
Mailing address
1678 CLOVERDALE RD, GATE CODE 2503, ESCONDIDO, CA 92027-6717
(760) 741-3809
(858) 683-2022
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G20376
CA
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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