NPI | 1912249376 |
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Doing Business As | ELLIOT SMITH, M.D. & ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD053373L) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2014-11-06 |