Provider Demographics
NPI:1245359397
Name:SMITH, ALAN (PHD, MPH)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:SMITH
Suffix:
Gender:M
Credentials:PHD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 ORCUTT AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2624
Mailing Address - Country:US
Mailing Address - Phone:619-269-7392
Mailing Address - Fax:
Practice Address - Street 1:6255 MISSION GORGE RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3505
Practice Address - Country:US
Practice Address - Phone:619-285-6528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study