Bradley Smith MD PC
Orthopaedic Surgery in Modesto, CA. Organization (NPI-2).
NPI number1649504366
StatusActive
Last updated in NPPESMar 7, 2011
Details
- NPI
- 1649504366
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradley Smith MD PC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2009
- Last updated
- Mar 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G79816 | CA | Yes |
Practice location
1329 Spanos Ct Ste C1Modesto, CA 95355-2806
Phone 209-451-2377 · Fax 209-433-0441
Mailing address
Po Box 576900Modesto, CA 95357-6900
Phone 209-451-2377 · Fax 209-433-0441
Authorized official
Bradley Smith
President
2095715071
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