THOMAS E SMITH DPM NPI 1225106230

NPI Information

THOMAS E SMITH DPM is a public medicine podiatrist in San Dimas, CA. THOMAS E SMITH DPM NPI is 1225106230. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 W BONITA AVE STE 110
SAN DIMAS, CA
ZIP 91773-543
Phone: (909) 599-0981
Fax: (909) 592-0738

The provider's authorized official is Thomas E Smith .
The authorized official title is Owner and has the following contact phone number (909) 599-0981.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 9/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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