Healthcare Provider Details

I. General information

NPI: 1841850658
Provider Name (Legal Business Name): DANIEL J. SMEESTER, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2019
Last Update Date: 06/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2059 MAGNOLIA WAY
WALNUT CREEK CA
94595-1629
US

IV. Provider business mailing address

2059 MAGNOLIA WAY
WALNUT CREEK CA
94595-1629
US

V. Phone/Fax

Practice location:
  • Phone: 925-640-5441
  • Fax:
Mailing address:
  • Phone: 925-640-5441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAN SMEESTER
Title or Position: PRESIDENT
Credential: MD
Phone: 925-640-5441