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NPI Code Detail

MEDICARE: ROY E SMITH MD

MEDICARE: ROY E SMITH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician191926CA
2207QA0401XAddiction Medicine (Family Medicine) Physician191926CA

General Provider Information

NPI Number : 1245287291
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROY E SMITH MD
Provider Business Mailing Address
First Line : 475 BRUCE ST
Second Line :
City : YREKA
State : CA
Zip : 96097-3474
Country : US
Telephone Number : 530-842-3507
Fax Number :
Provider Business Practice Location Address
First Line : 475 BRUCE ST
Second Line :
City : YREKA
State : CA
Zip : 96097-3474
Country : US
Telephone Number : 530-842-3507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2006
Last Update Date : 11/15/2023

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Directions to “ ROY E SMITH MD” Practice Location

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