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Individual
PETER R. SMITH
Active
Individual
PETER R. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
0101022178
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-00161
UNITED HEALTHCARE
VA
01
—
102826
BLUE CROSS
VA
01
—
140954
SOUTHERN HEALTH
VA
01
—
2041934001
CIGNA
VA
01
—
2542332
AETNA
VA
01
—
67112
ALLIANCE/MAMSI
VA
01
—
7037246
AETNA
VA
05
—
7603924
—
VA
01
—
J063-0001
CAREFIRST
VA
Enumeration date
10/22/2005
Last updated
03/06/2008
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