person
Alicia Coker Smith, DO
Military Health Care Provider in San Diego, California
NPI 1336676253

Alicia Coker Smith is a Military Health Care Provider based in San Diego, CA. Alicia Coker Smith practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Alicia Coker Smith is 1336676253 and holds a License No. (California).

The current practice location address for Alicia Coker Smith is 34800 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 619-532-6827 and via fax at 619-532-7508.

Location: 34800 Bob Wilson Dr, San Diego, CA, 92134-1098
person
Provider Profile Details
NPI Number
1336676253
Provider Name
Alicia Coker Smith
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
34800 Bob Wilson Dr, San Diego, CA, 92134-1098
Phone Number
619-532-6827
Fax Number
619-532-7508
Provider Enumeration Date
05/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VAD0000 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-6827
Fax Number
619-532-7508
person
Provider Business Mailing Address Details
Address
34800 Bob Wilson Dr
City
State
Zip
92134-1098
Phone Number
619-532-6827
Fax Number
619-532-7508
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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