Larry Alan Smith in Santa Rosa - Podiatrist
Larry Alan Smith - NPI 1609979822
Larry Alan Smith is a Podiatrist in Santa Rosa, California. Larry Alan Smith practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Larry Alan Smith is 1609979822. The last update date is 2008-05-08.
Larry Alan Smith's current location address is 1041 4th St, Santa Rosa, California. You can contact this provider via phone number 7075264777 and fax number 7075268809. The mailing address for Larry Alan Smith is 1041 4th St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Alan Smith |
|---|---|
| Address | 1041 4th St, Santa Rosa, California |
| Phone Number | 7075264777 |
| Fax Number | 7075268809 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1609979822 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 1041 4th St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 95404 |
| Phone Number | 7075264777 |
| Fax Number | 7075268809 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 000E21510 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7704019 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Larry Alan Smith by the Centers for Medicare & Medicaid Services?
The Larry Alan Smith has been issued the NPI (National Provider Identifier) 1609979822 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Larry Alan Smith?
The Larry Alan Smith is physically situated at 1041 4Th St, in the city of Santa Rosa, state of CA, with the postal code 95404.
What is the area of specialization for Larry Alan Smith, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry Alan Smith is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1609979822 to Larry Alan Smith?
The Centers for Medicare & Medicaid Services assigned the 1609979822 to Larry Alan Smith on 2006-09-06.
As of what date were the details related to Larry Alan Smith most recently updated or revised?
The information pertaining to Larry Alan Smith, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-08.