Search › California › 1710I1002X
Jerry Smith, IDC
NPI 1659460590 · on the registry since 2006
Practice
- Address
- 4643 Dock Rd
Bldg 524
Port Hueneme, CA 93043 - Phone
- (805) 982-2411
- Organisation at this address
- Underwater Construction Team Two
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California