MARK PRINCEP SMITH

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.

Dr MARK PRINCEP SMITH is a male medical professional, specializing in Family Medicine. He graduated in 2008.

Contact

COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.

1205 E GRAND AVE
SUITE H
ARROYO GRANDE
CA
934202419

Tel: 8053618097

MARK PRINCEP SMITH Information

Npi 1780996371
Pac Id 5799922894
Professional Enrollment Id I20150314000333
Last Name SMITH
First Name MARK
Middle Name PRINCEP
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC.
Group Practice Pac Id 7416868120
Number Of Group Practice Members 50
Line 1 Street Address 1205 E GRAND AVE
Line 2 Street Address SUITE H
Marker Of Address Line 2 Suppression
City ARROYO GRANDE
State CA
Zip Code 934202419
Phone Number 8053618097
Hospital Affiliation Ccn 1 050107
Hospital Affiliation Lbn 1 MARIAN REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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