Individual
DR. VANCE LA BARON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 BERRY ST, UNIT 817, SAN FRANCISCO, CA 94158-1593
(614) 313-3444
Mailing address
300 BERRY ST, UNIT 817, SAN FRANCISCO, CA 94158-1593
(614) 313-3444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57-007911
OH
208600000X
Surgery Physician
Primary
A111926
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COAAA1467
—
CO
05
—
EA834A
—
CA
Enumeration date
05/10/2007
Last updated
10/25/2013
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