Individual
DR. MARK Q. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270
(760) 674-3850
Mailing address
PO BOX 280, RANCHO MIRAGE, CA 92270-0280
(760) 837-8449
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
190473
NC
2085R0202X
Diagnostic Radiology Physician
Primary
A145420
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831374289
—
CA
Enumeration date
01/04/2008
Last updated
07/18/2018
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