Individual
DR. BRENNA ELAINE BAYNARD-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 S 7TH AVE STE A, BARSTOW, CA 92311-3057
(760) 255-2400
(760) 255-4646
Mailing address
500 S 7TH AVE STE A, BARSTOW, CA 92311-3057
(760) 255-2400
(760) 255-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G65654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164567426
NPI GROUP II
CA
01
—
330927078
TAX ID
CA
Enumeration date
09/20/2005
Last updated
10/01/2021
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