Individual
MR. MATTHEW HALL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT
Contact information
Practice address
1545 OLD BAYSHORE HWY, BURLINGAME, CA 94010-1602
(650) 692-5633
Mailing address
2035 KINGS LN, SAN MATEO, CA 94402-3928
(650) 574-4211
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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