Provider Demographics
NPI:1578628053
Name:SMITH, NEIL ANDREW (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ANDREW
Last Name:SMITH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7797 N 1ST ST # 14
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3715
Mailing Address - Country:US
Mailing Address - Phone:559-367-7243
Mailing Address - Fax:559-433-6634
Practice Address - Street 1:4411 E KINGS CANYON RD
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-3604
Practice Address - Country:US
Practice Address - Phone:559-367-7243
Practice Address - Fax:559-433-6634
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA2OA91992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry