Douglas R Smith, PA

NPI #1114023942 in Princeton, West Virginia

Provider Information

NPI Number: 1114023942
Entity Type: Individual
Name: Douglas R Smith, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 122 12TH STREET EXT
City: Princeton
State: West Virginia
ZIP Code: 24740-2352
Phone: (304) 487-7275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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