Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | A21625 | CA |
NPI | 1134341928 |
---|---|
Provider Name | Dr. David Elvin Smith |
First Address | San Francisco, CA 94117-2752 |
Second Address | San Francisco, CA 94117-2752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 19/03/2010 |