Doctor Name: | DR. ELISE SMITH-HOEFER |
NPI Number: | 1952397796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G54090 |
Business Practice Address: | 635 Anderson Rd #18 Davis, CA - 956163505 |
Business Phone Number: | 5307714000 |
Business Fax Number: | 5307714011 |
Mailing Address: | 635 Anderson Rd, #18 DAVIS |
State: | CA |
Postal Code: | 956163505 |
Phone Number: | 5307714000 |
Fax Number: | 5307714011 |
NPI Enumeration Date: | 09/27/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/24/2006 |
NPI Reactivation Date: | 03/30/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G54090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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. |