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Individual

DR. BRENT THOMAS SMITH

Active
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Individual

DR. BRENT THOMAS SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C , AGNP

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
012097-1
NY
111N00000X
Chiropractor
3363
MA
111N00000X
Chiropractor
38MC00695900
NJ
111N00000X
Chiropractor
DC011274
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
F311712-01
NY

Other

Enumeration date
02/09/2012
Last updated
05/08/2024
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