Organization
DOWNRIVER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER G SMITH MD (SOLE MBR)
(800) 310-7334
Entity
Organization
Contact information
Practice address
3906 EDGEVALE CT, FAIR OAKS, CA 95628-7612
(972) 412-5299
(469) 453-3374
Mailing address
DEPT. 880231 PO BOX 29650, PHOENIX, AZ 85038-9650
(972) 412-5299
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2018
Last updated
04/10/2019
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