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Organization

GARY W. SMITH M.D. & DONALD MOTZKIN

Active
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Organization

GARY W. SMITH M.D. & DONALD MOTZKIN

Active
Other names
Smith & Motzkin Urology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD MOTZKIN M.D. (PHYSICIAN/OWNER)
(818) 997-6441
Entity
Organization

Contact information

Practice address
6819 SEPULVEDA BLVD, SUITE 201, VAN NUYS, CA 91405-4463
(818) 997-6441
(818) 997-6451
Mailing address
6819 SEPULVEDA BLVD, SUITE 201, VAN NUYS, CA 91405-4463
(818) 997-6441
(818) 997-6451

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ13278Z
BLUE SHIELD
CA
Enumeration date
07/27/2007
Last updated
07/27/2007
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