Individual provider · Type 1 NPI
Trent Wynn Smith, MD
Specialist · Pleasanton, CA
NPI number
1255387932
Active
Practice location
5725 W. Las Positas Blvd., Suite 210
Pleasanton, CA 94588
Fax (925) 463-6312
Mailing address
5725 W Las Positas Blvd, Suite 210
Pleasanton, CA 94588-4054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | C34609 (OH) |
Specialist: 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.
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About NPI 1255387932
Trent Wynn Smith, MD's National Provider Identifier is 1255387932, issued on May 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Pleasanton, CA. The record was last updated on Oct 15, 2011.