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Dr. Evelyn Renee Smith, MD
Specialist in San Luis Obispo, California
NPI 1194762070

Evelyn Renee Smith is a Specialist based in San Luis Obispo, CA. Evelyn Renee Smith practices in San Luis Obispo, CA and has the professional credentials of MD. The NPI Number for Evelyn Renee Smith is 1194762070 and holds a License No. G77320 (California).

The current practice location address for Evelyn Renee Smith is 842 California Blvd, San Luis Obispo, CA and can be reached out via phone at 805-542-9678 and via fax at 805-542-9685.

Location: 842 California Blvd, San Luis Obispo, CA, 93401-2902
person
Provider Profile Details
NPI Number
1194762070
Provider Name
Evelyn Renee Smith
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
842 California Blvd, San Luis Obispo, CA, 93401-2902
Phone Number
805-542-9678
Fax Number
805-542-9685
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
616024300 01 UT ACS/US DEPT LABOR
56-2593593 01 CA CIGNA HEALTHCARE
FL915Z 01 CA MEDICARE PTAN
000067751 01 UT MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
842 California Blvd
City
State
Zip
93401-2902
Phone Number
805-542-9678
Fax Number
805-542-9685
person
Provider Business Mailing Address Details
Address
842 California Blvd
City
State
Zip
93401-2902
Phone Number
805-542-9678
Fax Number
805-542-9685
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
G77320 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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