Individual
TROY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT-1 R1344970419
Contact information
Practice address
15061 SPRINGDALE ST STE 112, HUNTINGTON BEACH, CA 92649-1194
(949) 342-4239
Mailing address
15061 SPRINGDALE ST STE 112, HUNTINGTON BEACH, CA 92649-1194
(949) 342-4239
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
R1344970419
CA
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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