Doctor Name: | MR. DUANE SMITH |
NPI Number: | 1134255011 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.A. |
License Number: | |
Business Practice Address: | 2002 Harrison Ave Eureka, CA - 955013212 |
Business Phone Number: | 7072683372 |
Business Fax Number: | 7074437139 |
Mailing Address: | 2002 Harrison Ave, EUREKA |
State: | CA |
Postal Code: | 955013212 |
Phone Number: | 7072688722 |
Fax Number: | 7072680218 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |