Brent William Smith, MD

NPI #1174546691 in Travis Afb, California

Provider Information

NPI Number: 1174546691
Entity Type: Individual
Name: Brent William Smith, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 25, 2006
Last Updated: Sep 16, 2021

Practice Location

Address: 101 BODIN CIR
Address 2: 2C614
City: Travis Afb
State: California
ZIP Code: 94535-1809
Phone: (707) 423-3774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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