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Individual
CHRISTOPHER EW SMITH
Active
Individual
CHRISTOPHER EW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01043671A
IN
208800000X
Urology Physician
Primary
29734
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10806259
CAQH PROVIDER ID
—
05
—
200370480
—
IN
05
—
64297344
—
KY
01
—
P00314101
RAILROAD MEDICARE
KY
01
—
P00895263
RAILROAD MEDICARE
KY
Enumeration date
04/26/2006
Last updated
12/18/2014
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