Provider Demographics
NPI:1407040181
Name:SMITH, DAVID SPENCER (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SPENCER
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1650 CREEKSIDE DR
Mailing Address - Street 2:MERCY HOSPITAL FOLSOM MEDICAL STAFF
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3400
Mailing Address - Country:US
Mailing Address - Phone:916-983-7470
Mailing Address - Fax:
Practice Address - Street 1:1650 CREEKSIDE DR
Practice Address - Street 2:MERCY HOSPITAL FOLSOM MEDICAL STAFF
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3400
Practice Address - Country:US
Practice Address - Phone:916-983-7470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA101479207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine