Individual provider · NPI-1

Dr. Charles T Smark Jr., M.D.

Orthopaedic Surgery · Camp Pendleton, CA

NPI number1104053271
StatusActive
Last updated in NPPESAug 26, 2022

Details

NPI
1104053271
Entity type
Individual (NPI-1)
Name
Dr. Charles T Smark Jr.
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 16, 2009
Certification date
Aug 23, 2022
Last updated
Aug 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery25855NEYes

Practice location

200 Mercy Circle
Dept Of Orthopedics
Camp Pendleton, CA 92055

Phone 760-725-1619

Mailing address

200 Mercy Circle
Dept Of Orthopedics
Camp Pendleton, CA 92055

Phone 760-725-1619

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