Individual
DAVID M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
781 BLACK OAK DRIVE, SUITE 102, MEDFORD, OR 97504
(541) 789-4236
(541) 789-5965
Mailing address
100 EAST MAIN STREET, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5526
(541) 789-5203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5152
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028008
—
OR
Enumeration date
04/08/2006
Last updated
05/03/2010
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