Eden Lowell Smith in Sonora - Surgery

Eden Lowell Smith - NPI 1518908276

Eden Lowell Smith is a Surgery in Sonora, California. Eden Lowell Smith practices all healthcare services and medical treatments related to Surgery. The NPI Number for Eden Lowell Smith is 1518908276. The last update date is 2007-07-08.

Eden Lowell Smith's current location address is 680 Guzzi Ln, Sonora, California. You can contact this provider via phone number 2095361785 and fax number 2095361607. The mailing address for Eden Lowell Smith is 680 Guzzi Ln, Sonora, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Eden Lowell Smith
Address 680 Guzzi Ln, Sonora, California
Phone Number 2095361785
Fax Number 2095361607
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1518908276
Provider Enumeration Date 2006-06-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 680 Guzzi Ln
City Sonora
State California (CA)
Post Code 953705288
Phone Number 2095361785
Fax Number 2095361607

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No G19148
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G191480 CA --

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FAQs about Eden Lowell Smith

What is the unique 10-digit identifier code assigned to Eden Lowell Smith by the Centers for Medicare & Medicaid Services?

The Eden Lowell Smith has been issued the NPI (National Provider Identifier) 1518908276 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Eden Lowell Smith is physically located?

The Eden Lowell Smith is situated at the following address: 680 Guzzi Ln, Sonora, CA 953705288.

What is Eden Lowell Smith's specialized field of practice, and what is the corresponding taxonomy classification code?

The Eden Lowell Smith's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did the Eden Lowell Smith receive its 1518908276 assignment from the Centers for Medicare & Medicaid Services?

The Eden Lowell Smith was assigned its 1518908276 by the Centers for Medicare & Medicaid Services on 2006-06-10.

When was the Eden Lowell Smith's information last updated?

The Eden Lowell Smith's information was last updated on 2007-07-08.

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