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Individual

ELIZABETH C SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
857 BLAKE WILBUR DRIVE, STANFORD, CA 94305
(914) 565-3474
Mailing address
1631 GRANT RD, MOUNTAIN VIEW, CA 94040-3267
(914) 565-3474

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014464
NY
363A00000X
Physician Assistant
Primary
22650
CA

Other

Enumeration date
02/02/2011
Last updated
08/13/2014
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