LARRY A SMITH NPI 1417131871

NPI Information

LARRY A SMITH is a foot and ankle surgery podiatrist in Santa Rosa, CA. LARRY A SMITH NPI is 1417131871. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1041 4TH ST STE B
SANTA ROSA, CA
ZIP 95404-329
Phone: (707) 526-4777
Fax: (707) 526-8809

The provider's authorized official is Larry A Smith .
The authorized official title is Owner and has the following contact phone number (707) 526-4777.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.

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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