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DR. TERRENCE EDWARD SMITH M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1629152897
Individual Registrant:DR. TERRENCE EDWARD SMITH M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
52992 SACRAMENTO STREET BOX 69 CLARKSBURG, CA 95612-0069 US
Tel: 916-744-1081 Fax: --
Tel: 916-744-1081 Fax: --
Contact information for business:
52992 SACRAMENTO STREET BOX 69 CLARKSBURG, CA 95612-0069 US
Tel: 916-744-1081 Fax: --
Tel: 916-744-1081 Fax: --
Registration Information:
NPI: 1629152897
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | G 42590 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00G425900 | CA | 05 |
