Individual
KEITH ULRIC SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(909) 353-2000
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(909) 353-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A6994
CA
Other
Enumeration date
11/13/2006
Last updated
11/29/2021
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