Stacy R Smith, MD Apc

NPI #1114357605 in Cardiff, California

Provider Information

NPI Number: 1114357605
Entity Type: Organization
Organization Name: Stacy R Smith, MD Apc
Primary Specialty: Dermatology
Enumeration Date: Nov 19, 2013
Last Updated: Nov 19, 2013

Practice Location

Address: 2371 LAGOON VIEW DR
City: Cardiff
State: California
ZIP Code: 92007-1507
Phone: (619) 787-5723

Authorized Official

Name: DR. STACY SMITH, MD
Title: PRESIDENT
Phone: (760) 203-3839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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