Barry Smith
Emergency Physician
Santa Rosa Memorial Hospital 1165 Montgomery Drive
Santa Rosa
, California 95405-4897
Barry Smith
Emergency Physician
Santa Rosa Memorial Hospital 1165 Montgomery Drive
Santa Rosa
, California 95405-4897
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Barry Smith
- 4774 Baytree Pl
- Santa Rosa, CA
- Zip : 95405-8792
- Phone :
Second Address
- Barry Smith
- Santa Rosa Memorial Hospital 1165 Montgomery Drive
- Santa Rosa, CA
- Zip : 95405-4897
- Phone : (707) 522-1573
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | A24784 | CA |
National Provider Identifier
| NPI | 1003850181 |
|---|---|
| Provider Name | Barry Smith |
| First Address | Santa Rosa, CA 95405-8792 |
| Second Address | Santa Rosa, CA 95405-4897 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A24131 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.