Individual
FORREST SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1393 SANTA RITA RD STE B, PLEASANTON, CA 94566-5667
(925) 734-0100
(925) 734-0207
Mailing address
1393 SANTA RITA RD STE B, PLEASANTON, CA 94566-5667
(925) 734-0100
(925) 734-0207
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
C35811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C358110
—
CA
Enumeration date
09/01/2006
Last updated
09/17/2009
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