MEDICARE: DR. STANLEY A SMITH D.C.

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
1	111N00000X	Chiropractor	DC0165290	CA
2	111N00000X	Chiropractor	16529	CA

General Provider Information

NPI Number	:	1851326953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STANLEY A SMITH D.C.

Provider Business Mailing Address
First Line	:	8421 AUBURN BLVD STE. #105
Second Line	:
City	:	CITRUS HTS.
State	:	CA
Zip	:	95610-0399
Country	:	US
Telephone Number	:	916-725-0101
Fax Number	:	916-725-0906

Provider Business Practice Location Address
First Line	:	8421 AUBURN BLVD STE #105
Second Line	:
City	:	CITRUS HTS.
State	:	CA
Zip	:	95610-0399
Country	:	US
Telephone Number	:	916-725-0101
Fax Number	:	916-725-0906

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	06/09/2016

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Directions to “ DR. STANLEY A SMITH D.C.” Practice Location

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