STACY R SMITH, MD APC
Dermatology at Lagoon View Dr, Cardiff By The Sea, CA

License number
California G65407
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. STACY SMITH MD
Title: PRESIDENT
Phone: (760) 203-3839
Address
Address 2
2371 Lagoon View Dr, Cardiff By The Sea, CA 92007
561 Saxony Pl SUITE 102, Encinitas, CA 92024
National Provider ID: 1114357605
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STACY R. SMITH, M.D., APC

2371 Lagoon Vw Dr, Cardiff by the Sea, CA 92007

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Registration:
Aug 18, 2011
State ID:
C3401757
Business type:
Articles of Incorporation
President:
Stacy R. Smith (President)
Agent:
Stacy R Smith,Cardiff by the Sea, CA 92007 (Physical)

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