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Individual
EVAN A SMITH
Active
Individual
EVAN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP222660
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
POD.0000902
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588157010
NPI
OR
Enumeration date
06/09/2018
Last updated
12/13/2024
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