Individual
MS. ANNETTE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.A.
Contact information
Practice address
44419 TOWN CENTER WAY STE E, PALM DESERT, CA 92260-7100
(760) 469-9843
(760) 469-9845
Mailing address
PO BOX 2323, INDIO, CA 92202-2323
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
218971
NY
208D00000X
General Practice Physician
Primary
01065316A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200906330
—
IN
Enumeration date
03/07/2007
Last updated
10/14/2020
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