Individual
BENJAMIN T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
26520 CACTUS AVE, C/O GME OFFICE RM. A1005, MORENO VALLEY, CA 92555-3927
(951) 486-5908
(951) 486-5910
Mailing address
26520 CACTUS AVE, C/O GME OFFICE RM. A1005, MORENO VALLEY, CA 92555-3927
(951) 486-5908
(951) 486-5910
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
49886
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2010
Last updated
08/08/2016
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