Individual
DR. BRETT JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
585 BUCKINGHAM WAY, SAN FRANCISCO, CA 94132-1904
(415) 379-2000
(415) 242-6107
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A123185
CA
Other
Enumeration date
04/03/2012
Last updated
09/25/2018
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