Provider Demographics
NPI:1467789446
Name:UY-SMITH, ELIZABETH LORETO (MD, MPH)
Entity Type:Individual
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First Name:ELIZABETH
Middle Name:LORETO
Last Name:UY-SMITH
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:995 POTRERO AVE
Mailing Address - Street 2:BLDG 80, WARD 83
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:628-206-5252
Mailing Address - Fax:628-206-7505
Practice Address - Street 1:995 POTRERO AVE
Practice Address - Street 2:BLDG 80, WARD 83
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-206-8610
Practice Address - Fax:415-206-8387
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2021-10-13
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Provider Licenses
StateLicense IDTaxonomies
CAA113785207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA103715Medicare PIN